National Provider Identifier Database

SSM CARDINAL GLENNON CHILDRENS HOSPITAL
Children

Contact Information

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
1465 S GRAND BLVD
SAINT LOUIS, MO  63104-1003
Phone: 314-577-5600
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

NPI Number 1508935891
Legal business name
LBN		 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Authorized official STEVEN BURGHART - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 11/08/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 429
  • AK Medicaid: 131582105
  • CA Medicaid: XHSP32905
  • CA Medicaid: XHSP42905
  • CO Medicaid: 95018891
  • FL Medicaid: 909155600
  • IA Medicaid: 0966895
  • IN Medicaid: 100034340A
  • KS Medicaid: 100376220A
  • KY Medicaid: 01441005
  • LA Medicaid: 1747416
  • MI Medicaid: 304785040
  • MI Medicaid: 404785069
  • MN Medicaid: 756053200
  • MO Medicaid: 010155802
  • MO Medicaid: 010155810
  • MO Medicaid: 540155801
  • MS Medicaid: 02884096
  • MO Other: 429 LICENSE NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

There are currently no reviews for SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

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