Ssm Health Medical Group
LBN: Ssm St. Charles Clinic Medical Group, Inc.
Ssm Health Medical Group is an health care organization with primary practice located at 1551 Wall St Suite 400, Saint Charles MO 63303-3539. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ssm St. Charles Clinic Medical Group, Inc. can be contacted via phone (636) 669-2350, or through Pullum, Laura via phone (636) 669-2434.
Contact Information
Primary practice address
1551 Wall St Suite 400
Saint Charles MO 63303-3539
Phone: (636) 669-2350
Fax: (636) 669-2221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
NPI number | 1811932973 |
---|---|
LBN Legal business name | Ssm St. Charles Clinic Medical Group, Inc. |
DBA Doing business as | Ssm Health Medical Group |
Authorized official | Pullum, Laura |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Jan 15th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811932973 | NPPES |
Missouri | MEDICAID | 501133607 |
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