Ssm Health Medical Group

LBN: Ssm St. Charles Clinic Medical Group, Inc.
Ssm Health Medical Group is an health care organization with primary practice located at 1551 Wall St Suite 400, Saint Charles MO 63303-3539. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Ssm St. Charles Clinic Medical Group, Inc. can be contacted via phone (636) 669-2350, or through Pullum, Laura via phone (636) 669-2434.

Contact Information

Primary practice address
1551 Wall St Suite 400 Saint Charles MO 63303-3539
Phone: (636) 669-2350
Fax: (636) 669-2221
Website:
Map and Directions
Authorized official contact:
Name: Pullum, Laura
Phone: (636) 669-2434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1811932973
LBN Legal business name Ssm St. Charles Clinic Medical Group, Inc.
DBA Doing business as Ssm Health Medical Group
Authorized official Pullum, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811932973 NPPES
Missouri MEDICAID 501133607

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