Organization
SSM HEALTH CARE ST. LOUIS
Active
Parent organization
SSM HEALTH CARE CORPORATION
Other names
SSM Health DePaul Hospital - St. Louis
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE CORPORATION
Authorized official
MS. TINA GARRISON (PRESIDENT)
(314) 344-7210
Entity
Organization
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
414-11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010494102
—
MO
05
—
431704972001
—
IL
05
—
431704972401
—
IL
05
—
540494101
—
MO
Enumeration date
11/09/2006
Last updated
08/31/2021
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