SSM MEDICAL GROUP INC. NPI 1124579966

NPI Information

  • NPI: 1124579966
  • Provider Name: SSM MEDICAL GROUP INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SSM HEALTH MEDICAL GROUP
  • Address: 1011 BOWLES AVE
    SUITE 400
    FENTON, MO
    ZIP 63026
  • Phone: (636) 496-5030

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NPI Details

SSM MEDICAL GROUP INC. is a durable medical equipment medical supplies in Fenton, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SSM MEDICAL GROUP INC. NPI is 1124579966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Medical Group.

The provider's business location address is:

1011 BOWLES AVE
SUITE 400
FENTON, MO
ZIP 63026-395
Phone: (636) 496-5030

The provider's authorized official is Karen Rewerts .
The authorized official title is Vp Financial Operations and has the following contact phone number (314) 989-2034.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 8/18/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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