SSM HEALTH CARE ST. LOUIS (NPI# 1871665380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871665380 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE ST. LOUIS |
| Other Organization Name | SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LOUIS |
| Practice Address |
100 Medical Plz Lake St Louis MO 63367-1366 |
| Practice Telephone | 6366255200 |
| Mailing Telephone | 6366255200 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | MS. LISLE WESCOTT (PRESIDENT) |
| Authorized Official Telephone | 6366255330 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 494-0 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100448550A | 05 | |
| LA | 1704971 | 05 | |
| MD | 406080600 | 05 | |
| NE | 10025224700 | 05 | |
| IL | 431417442001 | 05 | |
| IL | 431417442401 | 05 | |
| CA | XHSP43652 | 05 | |
| PA | 001452362 | 05 | |
| AR | 149377105 | 05 | |
| MO | 012361606 | 05 | |
| TN | 0260200 | 05 | |
| OH | 2339893 | 05 | |
| MO | 542361605 | 05 | |
| IA | 0551366 | 05 | |
| IN | 200417580A | 05 | |
| GA | 519219208A | 05 | |
| NM | 13450379 | 05 | |
| CA | XHSP33652 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St Joseph Hospital - Lake Saint Louis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346237112 | Ssm Health Care St. Louis | Skilled Nursing Facility | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2005-10-05 |
| 1336387836 | Ssm Health Care St. Louis | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-01-22 |
| 1396927117 | Ssm Health Care St. Louis | Rehabilitation Unit | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2007-12-04 |
| 1598835308 | Ssm Health Care St. Louis | General Acute Care Hospital | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-11-09 |
| 1235209032 | Ssm Health Care St. Louis | Pharmacy | 12255 De Paul Dr, Bridgeton, MO 63044-2510 | 2006-11-09 |
| 1053481861 | Ssm Health Care St. Louis | Psychiatric Unit | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-11-09 |
| 1962572396 | Ssm Health Care St. Louis | General Acute Care Hospital | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2006-11-09 |
| 1396814083 | Ssm Health Care St. Louis | Psychiatric Unit | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-11-07 |
| 1467521146 | Ssm Health Care St. Louis | General Acute Care Hospital | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-11-07 |
| 1831278332 | Ssm Health Care St. Louis | Clinic/Center | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2006-11-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SSM HEALTH CARE ST. LOUIS | 477 N. Lindbergh, St. Louis, MO 63141 |
| Virginia Business Entities | SSM Health Care St. Louis | 10101 Woodfield Ln, Saint Louis, Missouri 63132-2946 |
| Indiana Business Entities | SSM HEALTH CARE ST. LOUIS, INC. | 10101 Woodfield Ln, Saint Louis, MO 63132 |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818222 | Melissa Colleen Hynes | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-10-11 |
| 1073110367 | Abigail Elizabeth Malloy | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-10-08 |
| 1639718984 | Cheryl Akers | Family Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-01-03 |
| 1982259305 | Cep America LLC | Emergency Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-08-02 |
| 1164084711 | Laboratory Corporation of America | Clinical Medical Laboratory | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-07-03 |
| 1174007868 | Takeysha Laray Lowe | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-09-19 |
| 1275027336 | Brianne Nicole Rigg | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-06-21 |
| 1316455959 | Audrey Anne Bolden | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-17 |
| 1013424530 | Victoria Lynn Hines | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-05 |
| 1942724786 | Sara Jane Daniels | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
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| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.