# SSM ST. JOSEPH HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Joseph Radiation Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154376465
- **Authorized official:** MR. STEVEN JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (314) 989-2072

## Contact information

- **Practice address:** 1475 KISKER RD, SUITE 190, SAINT CHARLES, MO 63304-8781
- **Practice address phone:** (636) 498-7800
- **Practice address fax:** (636) 498-7819
- **Mailing address:** 1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
- **Mailing address phone:** (314) 989-0300
- **Mailing address fax:** (314) 810-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 12/22/2008