Cardinal Glennon Pediatric Surgery Center

LBN: Ssm Cardinal Glennon Children'S Hospital
Cardinal Glennon Pediatric Surgery Center is an health care organization with primary practice located at 12700 Southfork Rd , Saint Louis MO 63128-3201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ssm Cardinal Glennon Children'S Hospital can be contacted via phone (314) 543-5226, or through Boggs, Lynn L via phone (314) 768-8032.

Contact Information

Primary practice address
12700 Southfork Rd Saint Louis MO 63128-3201
Phone: (314) 543-5226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boggs, Lynn L
Phone: (314) 768-8032

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 167-1 Missouri

Profile Details

NPI number 1811074651
LBN Legal business name Ssm Cardinal Glennon Children'S Hospital
DBA Doing business as Cardinal Glennon Pediatric Surgery Center
Authorized official Boggs, Lynn L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811074651 NPPES
Missouri MEDICAID 507450302

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