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SSM CARDINAL GLENNON CHILDRENS HOSPITAL NPI 1073568226


NPI Information

NPI: 1073568226
Provider Name: SSM CARDINAL GLENNON CHILDRENS HOSPITAL

Doing Business As: SSM HEALTH CARDINAL GLENNON PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 26D2178214

Address:
2927 S . KINGS HIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63139
Phone: (314) 268-4070
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SSM CARDINAL GLENNON CHILDRENS HOSPITAL is a pediatrics in Saint Louis, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SSM CARDINAL GLENNON CHILDRENS HOSPITAL NPI is 1073568226. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Cardinal Glennon Pediatrics.

The provider's business location address is:

2927 S . KINGS HIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63139-008
Phone: (314) 268-4070
Fax: (314) 268-4019

The provider's authorized official is Karen Rewerts .
The authorized official title is System Vice President Finance and has the following contact phone number (314) 989-6843.

The CLIA number assigned to this NPI record is 26D2178214 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 11/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126D2159157OTHERCLIA
2505459107MEDICAIDMISSOURI
3540155801MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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