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	105-11HO	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285609966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SSM HEALTH BUSINESSES

Provider Business Mailing Address
First Line	:	600 MEDICAL DR STE 209
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3426
Country	:	US
Telephone Number	:	636-695-2050
Fax Number	:	636-695-2060

Provider Business Practice Location Address
First Line	:	600 MEDICAL DR STE 209
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3426
Country	:	US
Telephone Number	:	636-695-2050
Fax Number	:	636-695-2060

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	06/02/2023

Similar Medicare Providers

1679560015 — RICHARD O. FOLLWELL, P.C.
Practice Location Address:

600 MEDICAL DR , SUITE 202
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-6606
Practice Fax: 636-639-5048

1013904598 — GENERAL, LAPAROSCOPIC & VASCULAR SURGERY, L.L.C.
Practice Location Address:

600 MEDICAL DR , SUITE 202
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-6606
Practice Fax: 636-639-5048

1871685669 — ASSOCIATES IN PULMONARY AND SLEEP MEDICINE
Practice Location Address:

600 MEDICAL DR STE 209
WENTZVILLE, MO
63385-3426

Practice Phone: 314-432-2580
Practice Fax: 314-432-0223

1538243571 — ST CHARLES WEST PSYCHOLOGICAL
Practice Location Address:

600 MEDICAL DR STE 205
WENTZVILLE, MO
63385-3426

Practice Phone: 314-432-2580
Practice Fax: 314-432-0223

1518006956 — ST. JOSEPH'S HEALTH CENTER WOMEN'S AND CHILDREN'S SERVICES CLINIC
Practice Location Address:

600 MEDICAL DR , SUITE 209
WENTZVILLE, MO
63385-3426

Practice Phone: 636-332-8482
Practice Fax:

1487826459 — MRS. LISA DIANNE WENGER LPC
Practice Location Address:

600 MEDICAL DR
WENTZVILLE, MO
63385-3426

Practice Phone: 636-327-1332
Practice Fax:

Directions to “SSM HEALTH BUSINESSES ” Practice Location

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