Ssm Health Cardinal Glennon Children'S Hospital

LBN: Ssm Cardinal Glennon Childrens Hospital
Ssm Health Cardinal Glennon Children'S Hospital is an health care organization with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Ssm Cardinal Glennon Childrens Hospital can be contacted via phone (618) 234-2120, or through Rewerts, Karen via phone (314) 989-2034.

Contact Information

Primary practice address
1 Saint Elizabeth Blvd O Fallon IL 62269-1099
Phone: (618) 234-2120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rewerts, Karen
Phone: (314) 989-2034

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Obesity Medicine 2080B0002X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X

Profile Details

NPI number 1174577670
LBN Legal business name Ssm Cardinal Glennon Childrens Hospital
DBA Doing business as Ssm Health Cardinal Glennon Children'S Hospital
Authorized official Rewerts, Karen
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Sep 30th, 2020 - about 4 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 1174577670 NPPES
Missouri MEDICAID 540155801

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