Organization · Type 2 NPI

SSM Health Care St. Louis

Skilled Nursing Facility · Bridgeton, MO

NPI number 1346237112 Active

Practice location

12303 Depaul Dr.
Bridgeton, MO 63044-2512

Fax (314) 209-8823

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	41410 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

10 other providers at this address

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NPI record

NPI: 1346237112
Entity type: Organization (Type 2)
Issued: Oct 5, 2005
Last updated: Aug 15, 2019
Status: Active
Subpart: Yes of SSM Health Care Corporation

Other names

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SSM Health Depaul Hospital - Anna House · doing business as
SSM Health Depaul Hospital - Anna House · doing business as

Authorized official

Mr. Ellis D. Hawkins
Hospital President
(314) 344-7210

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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 1346237112

SSM Health Care St. Louis's National Provider Identifier is 1346237112, issued on Oct 5, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 15, 2019.