Provider Demographics
NPI:1992342661
Name:ST. LOUIS GENERAL HOSPITAL
Entity type:Organization
Organization Name:ST. LOUIS GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, BOARD PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-323-8823
Mailing Address - Street 1:916 OLIVE STREET
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101
Mailing Address - Country:US
Mailing Address - Phone:314-436-9300
Mailing Address - Fax:314-925-1305
Practice Address - Street 1:916 OLIVE STREET
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101
Practice Address - Country:US
Practice Address - Phone:314-436-9300
Practice Address - Fax:314-925-1305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST LOUIS GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care