Healthcare Provider Details
I. General information
NPI: 1013324854
Provider Name (Legal Business Name): SSM HEALTH BUSINESSES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2014
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
605 E PROMENADE ST
MEXICO MO
65265-2926
US
IV. Provider business mailing address
10143 PAGET DR
SAINT LOUIS MO
63132-2915
US
V. Phone/Fax
- Phone: 573-582-8850
- Fax: 573-582-8851
- Phone: 314-989-2500
- Fax: 314-989-2503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALISON
RUEHL
Title or Position: PRESIDENT
Credential: RN, MBA
Phone: 314-989-2508