Organization
SSM HEALTH CARE ST. LOUIS
Active
Parent organization
SSM HEALTH CARE CORPORATION
Other names
SSM Health DePaul Hospital - Anna House
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE CORPORATION
Authorized official
MR. ELLIS D. HAWKINS (HOSPITAL PRESIDENT)
(314) 344-7210
Entity
Organization
Contact information
Practice address
12303 DEPAUL DR., BRIDGETON, MO 63044-2512
(314) 209-8814
(314) 209-8823
Mailing address
12303 DEPAUL DR., BRIDGETON, MO 63044-2512
(314) 209-8814
(314) 209-8823
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41410
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101498608
—
MO
Enumeration date
10/05/2005
Last updated
08/15/2019
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