Organization
SSM HEALTH CARE GROUP
Active
Other names
SLUCare Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REWERTS (VICE PRESIDENT-FINANCIAL OPERATIONS)
(314) 605-4405
Entity
Organization
Contact information
Practice address
1225 SOUTH GRAND BLVD, GL, DOOR #1, SAINT LOUIS, MO 63104-1016
(314) 617-2607
Mailing address
PO BOX 954467, SAINT LOUIS, MO 63195-1020
(314) 617-3508
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/22/2022
Last updated
10/27/2025
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