MEDICARE: SSM HEALTH BUSINESSES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	2002665	IL

General Provider Information

NPI Number	:	1093718900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SSM HEALTH BUSINESSES

Provider Business Mailing Address
First Line	:	1501 MCPHERSON AVE
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MCPHERSON AVE
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2831
Country	:	US
Telephone Number	:	618-899-1624
Fax Number	:	615-899-4744

Authorized Official
Title or Position	:	VICE PRESIDENT PATIENT CARE SERVICE
Name	:	LISA SCHWEITZER
Credential	:	RN
Telephone Number	:	608-778-2146

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/01/2023

Similar Medicare Providers

1295798403 — SSM HEALTH BUSINESSES
Practice Location Address:

1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831

Practice Phone: 618-899-1621
Practice Fax: 618-899-4744

1215951876 — LYNN M FOLLOWELL APN
Practice Location Address:

1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831

Practice Phone: 618-241-1360
Practice Fax: 618-241-1865

1154415008 — KATHERINE BLOODWORTH MNP
Practice Location Address:

1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831

Practice Phone: 618-241-1748
Practice Fax:

1689945339 — LACI CHRISTINE JANKOWSKI APN
Practice Location Address:

1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831

Practice Phone: 618-241-1360
Practice Fax: 618-241-1865

1881629178 — DR. RANDA BAHER FODA M.D.
Practice Location Address:

2000 ACADEMY DR
MOUNT LAUREL, NJ
08054-2831

Practice Phone: 856-985-9100
Practice Fax: 856-985-9106

1861575771 — DR. SAMANTHA L MARTIN-SZABO D.C.
Practice Location Address:

2000 ACADEMY DR , SUITE 100
MOUNT LAUREL, NJ
08054-2831

Practice Phone: 856-727-3536
Practice Fax: 856-727-4703

Directions to “SSM HEALTH BUSINESSES ” Practice Location

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