Organization
SSM HEALTH CARE ST LOUIS
Active
Parent organization
SSM HEALTH CARE ST. LOUIS
Other names
SSM Health St Clare Hospital, SSM Health St. Clare Hospital Physician Billing, SSM Health St Clare Fenton
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE ST. LOUIS
Authorized official
DEBBIE M STRAUSS PROVIDER ENROLLMENT (PROVIDER ENROLLMENT COORDINATOR)
(557) 203-1486
Entity
Organization
Contact information
Practice address
1015 BOWLES AVENUE, FENTON, MO 63026
(636) 496-2502
Mailing address
12800 CORPORATE HILL DR, SAINT LOUIS, MO 63131-1845
(557) 203-1486
(314) 344-7239
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545011009
—
MO
Enumeration date
05/19/2006
Last updated
03/26/2026
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