# SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255664645
- **Legal business name:** SSM HEALTHCARE
- **Authorized official:** M CHRISTINE GREEN APRN (TRAUMA PROGRAM MANAGER)
- **Authorized official phone:** (314) 577-5392

## Contact information

- **Practice address:** 1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
- **Practice address phone:** (314) 577-5600
- **Practice address fax:** (314) 268-6441
- **Mailing address:** 1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
- **Mailing address phone:** (314) 577-5600
- **Mailing address fax:** (314) 268-6441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 363L00000X | MO | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 09/16/2009