Organization
SSM HEALTH CARE ST. LOUIS
Active
Parent organization
SSM HEALTH CARE CORPORATION
Other names
SSM Health St. Clare Hospital - Fenton
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE CORPORATION
Authorized official
MS. TINA GARRISON (PRESIDENT)
(636) 496-2502
Entity
Organization
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
456-6
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010417202
—
MO
01
—
14878046
MISSOURI STATE TAX ID #
MO
Enumeration date
09/13/2006
Last updated
11/27/2023
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