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Contact Information

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
1465 S GRAND BLVD
SAINT LOUIS, MO63104-1003
 Phone: 314-577-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

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

NPI # 1508935891
LBN Legal business name SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Authorized official STEVEN BURGHART - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/08/2006
Last updated 11/27/2023 - About 3 years ago
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 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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