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SSM HEALTH CARE ST. LOUIS NPI 1366400855


NPI Information

NPI: 1366400855
Provider Name: SSM HEALTH CARE ST. LOUIS

Doing Business As: SSM HEALTH ST. MARY'S HOSPITAL PHYSICIAN BILLING

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
6420 CLAYTON RD
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 768-8000
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SSM HEALTH CARE ST. LOUIS is an emergency medicine in Saint Louis, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. SSM HEALTH CARE ST. LOUIS NPI is 1366400855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health St. Mary's Hospital Physician Billing.

The provider's business location address is:

6420 CLAYTON RD
SAINT LOUIS, MO
ZIP 63117-811
Phone: (314) 768-8000

The provider's authorized official is Sharon R. Dudley .
The authorized official title is Evp/coo and has the following contact phone number (314) 768-8032.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 10/9/2020.


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
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207ZC0500XPathologyCytopathologyNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6207U00000XNuclear MedicineNo
7207P00000XEmergency MedicineYes

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
1540326204MEDICAIDMISSOURI
23285OTHERMISSOURIGHP GROUP NUMBER

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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