Healthcare Provider Details

I. General information

NPI: 1609840552
Provider Name (Legal Business Name): SSM HEALTH BUSINESSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 CORPORATE LAKE DR SUITE 200
SAINT LOUIS MO
63132-1718
US

IV. Provider business mailing address

1187 CORPORATE LAKE DR
SAINT LOUIS MO
63132-1700
US

V. Phone/Fax

Practice location:
  • Phone: 314-989-2660
  • Fax: 314-989-2906
Mailing address:
  • Phone: 314-989-2500
  • Fax: 314-989-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number700-10HH
License Number StateMO

VIII. Authorized Official

Name: LISA SCHWEITZER
Title or Position: VICE PRESIDENT PATIENT CARE SERVICE
Credential: RN
Phone: 608-778-2146