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NPI Code Detail

MEDICARE: SSM HEALTH BUSINESSES

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
1251E00000XHome Health Agency1010902IL

General Provider Information

NPI Number : 1295798403
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM HEALTH BUSINESSES
Provider Business Mailing Address
First Line : 2 GOOD SAMARITAN WAY STE 325
Second Line :
City : MOUNT VERNON
State : IL
Zip : 62864-2486
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 : 618-899-1621
Fax Number : 618-899-4744
Authorized Official
Title or Position : VICE PRESIDENT PATIENT CARE SERVICE
Name : LISA SCHWEITZER
Credential : RN
Telephone Number : 608-778-2146
Provider Enumeration Date : 04/10/2006
Last Update Date : 08/01/2023

Similar Medicare Providers

1093718900 — SSM HEALTH BUSINESSES
Practice Location Address:
1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831
Practice Phone: 618-899-1624
Practice Fax: 615-899-4744
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
1952266926 — JANNA RACHEL FULKERSON PT, DPT
Practice Location Address:
1501 MCPHERSON AVE
MOUNT VERNON, IL
62864-2831
Practice Phone: 618-899-1621
Practice Fax:
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

Directions to “SSM HEALTH BUSINESSES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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