SSM HEALTH CARE ST. LOUIS; NPI #1538113097

Contact Information

SSM HEALTH CARE ST. LOUIS

100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367-1366

Phone: 636-625-5200
Fax: 636-625-5314
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Emergency Medical Services	207PE0004X	93	Physician/Emergency Medicine
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Critical Care Medicine	207RC0200X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Neonatal-Perinatal Medicine	2080N0001X	37	Physician/Pediatric Medicine
Neurological Surgery	207T00000X	02	Physician/General Surgery
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology
Pediatrics	208000000X	37	Physician/Pediatric Medicine
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine
Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for SSM HEALTH CARE ST. LOUIS

NPI Number 1538113097

LBN Legal business name SSM HEALTH CARE ST. LOUIS

Authorized official STEVEN JOHNSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/20/2006

Last updated 01/08/2016 - About 10 years ago

Identifiers

MS	Medicaid	542361605
MO	Other	CD7132	RR MEDICARE
MO	Other	CU0286	RR MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SSM HEALTH CARE ST. LOUIS

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NPI Profile & details for SSM HEALTH CARE ST. LOUIS

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