Organization · Type 2 NPI

SSM Health Businesses

Community Based Hospice Care Agency · Mount Vernon, IL

NPI number 1093718900 Active

Practice location

1501 Mcpherson Ave
Mount Vernon, IL 62864-2831

Call (618) 899-1624 Map

Fax (615) 899-4744

Other practice locations

20 Junction Dr W Ste 4, Glen Carbon, IL 62034-3060 · (618) 899-1651

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	2002665 (IL)

Community Based Hospice Care Agency: Definition to come...

6 other providers at this address

NPI record

NPI: 1093718900
Entity type: Organization (Type 2)
Issued: May 24, 2005
Last updated: Aug 1, 2023
Status: Active

Other names

<unavail>
SSM Health at Home Hospice Glen Carbon · doing business as
SSM Health at Home Hospice Mt. Vernon · doing business as

Authorized official

Lisa Schweitzer, RN
Vice President Patient Care Service
(608) 778-2146

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 1093718900

SSM Health Businesses's National Provider Identifier is 1093718900, issued on May 24, 2005. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Aug 1, 2023.