# SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699087601
- **Authorized official:** ERICA L TIMMERMANN MS, RD, LD (REGISTERED DIETITIAN)
- **Authorized official phone:** (314) 577-5319

## Contact information

- **Practice address:** 1465 S GRAND BLVD, DIET OFFICE, SAINT LOUIS, MO 63104-1003
- **Practice address phone:** (314) 577-5319
- **Mailing address:** 1465 S GRAND BLVD, DIET OFFICE, SAINT LOUIS, MO 63104-1003
- **Mailing address phone:** (314) 577-5319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 2010011211 | MO | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 07/07/2010