Ssm Cardinal Glennon Childrens Hospital

LBN: Ssm Cardinal Glennon Childrens Hospital
Ssm Cardinal Glennon Childrens Hospital is an health care organization with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Ssm Cardinal Glennon Childrens Hospital can be contacted via phone (314) 577-5683, or through Spencer, Kimberly via phone (314) 989-2588.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Fax: (314) 268-4069
Website:
Authorized official contact:
Name: Spencer, Kimberly

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 006069 Missouri
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609969880
LBN Legal business name Ssm Cardinal Glennon Childrens Hospital
DBA Doing business as
Authorized official Spencer, Kimberly
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 18th, 2022 - about 2 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 1609969880 NPPES
Illinois MEDICAID 430718920003
Illinois MEDICAID 600155808
Illinois Other 2614217

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