# SSM HEALTH CARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLUCare Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043955503
- **Authorized official:** EILEEN M LAMM (VICE PRESIDENT - FINANCE)
- **Authorized official phone:** (314) 994-6219

## Contact information

- **Practice address:** 1402 S GRAND BLVD RM 463, SAINT LOUIS, MO 63104-1004
- **Practice address phone:** (314) 577-8475
- **Practice address fax:** (314) 268-5478
- **Mailing address:** PO BOX 954467, SAINT LOUIS, MO 63195-4467
- **Mailing address phone:** (314) 617-3508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2022
- **Last updated:** 02/19/2025