Organization · Type 2 NPI

SSM Medical Group Inc.

Durable Medical Equipment & Medical Supplies · Bridgeton, MO

NPI number 1053616110 Active

Practice location

12349 De Paul Dr, Suite 100
Bridgeton, MO 63044

Call (314) 291-3399 Map

Fax (314) 291-3466

Mailing address

3221 Mckelvey Rd Ste 301
Bridgeton, MO 63044-2551

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3 other providers at this address

Other durable medical equipment & medical supplies providers in Bridgeton

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NPI record

NPI: 1053616110
Entity type: Organization (Type 2)
Issued: Jan 21, 2011
Last updated: Aug 18, 2020
Status: Active
Subpart: Yes of SSM Medical Group Inc.

Other names

<unavail>
SSM Health Medical Group · doing business as
SSM Health Medical Group · doing business as

Authorized official

Karen Rewerts
VP Financial Operations
(314) 989-2034

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053616110

SSM Medical Group Inc.'s National Provider Identifier is 1053616110, issued on Jan 21, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 18, 2020.