Organization
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Parent organization
SSM HEALTH CARE CORPORATION
Other names
SSM Health St. Mary's Hospital - St. Louis
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE CORPORATION
Authorized official
MR. STEVEN E BURGHART (PRESIDENT)
(314) 577-5613
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155802
—
MO
05
—
010155810
—
MO
05
—
01441005
—
KY
05
—
02884096
—
MS
05
—
0966895
—
IA
05
—
100034340A
—
IN
05
—
100376220A
—
KS
05
—
131582105
—
AK
05
—
1747416
—
LA
05
—
304785040
—
MI
05
—
404785069
—
MI
01
—
429
LICENSE NUMBER
MO
05
—
540155801
—
MO
05
—
756053200
—
MN
05
—
909155600
—
FL
05
—
95018891
—
CO
05
—
XHSP32905
—
CA
05
—
XHSP42905
—
CA
Enumeration date
11/08/2006
Last updated
11/27/2023
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