SSM CARDINAL GLENNON CHILDREN'S HOSPITAL NPI 1508935891

NPI Information

NPI: 1508935891
Provider Name: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

Other Name: SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

Address:
1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 577-5600
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SSM CARDINAL GLENNON CHILDREN'S HOSPITAL is a children general acute care hospital in Saint Louis, MO. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL NPI is 1508935891. The provider is registered as an organization entity type.
The provider Other Name Is Ssm Health St. Mary's Hospital - St. Louis.

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 577-5600

The provider's authorized official is Steven E Burghart .
The authorized official title is President and has the following contact phone number (314) 577-5613.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 11/21/2019.

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
1	282NC2000X	General Acute Care Hospital	Children	429	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0966895	MEDICAID	IOWA
2	01441005	MEDICAID	KENTUCKY
3	100034340A	MEDICAID	INDIANA
4	429	OTHER	MISSOURI	LICENSE NUMBER
5	95018891	MEDICAID	COLORADO
6	010155802	MEDICAID	MISSOURI
7	02884096	MEDICAID	MISSISSIPPI
8	100376220A	MEDICAID	KANSAS
9	1747416	MEDICAID	LOUISIANA
10	304785040	MEDICAID	MICHIGAN
11	XHSP32905	MEDICAID	CALIFORNIA
12	010155810	MEDICAID	MISSOURI
13	131582105	MEDICAID	ALASKA
14	756053200	MEDICAID	MINNESOTA
15	404785069	MEDICAID	MICHIGAN
16	XHSP42905	MEDICAID	CALIFORNIA
17	540155801	MEDICAID	MISSOURI
18	909155600	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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