Organization
SSM REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JOHNSON (PRESIDENT)
(314) 768-5362
Entity
Organization
Contact information
Practice address
6420 CLAYTON RD, EXECUTIVE OFFICES - 1ST FLOOR ABOVE ER, SAINT LOUIS, MO 63117-1811
(314) 768-5235
Mailing address
6420 CLAYTON RD, EXECUTIVE OFFICES - 1ST FLOOR ABOVE ER, SAINT LOUIS, MO 63117-1811
(314) 768-5235
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
383-13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10323103
—
MO
Enumeration date
10/26/2006
Last updated
08/22/2020
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