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
282N00000X
General Acute Care Hospital
Primary
414-11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010494102
—
MO
05
—
01400001
—
KY
05
—
0553719
—
IA
05
—
07184768
—
MS
05
—
100411820A
—
KS
05
—
149006105
—
AR
05
—
1702471
—
LA
05
—
200360100A
—
IN
05
—
43170497200
—
NE
05
—
431704972001
—
IL
05
—
431704972401
—
IL
05
—
540494101
—
MO
05
—
72101326
—
CO
05
—
756053200
—
MN
05
—
833203
—
AZ
05
—
911294400
—
FL
05
—
XHSP33320
—
CA
05
—
XHSP43320
—
CA
Enumeration date
11/09/2006
Last updated
08/31/2021
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