Organization · Type 2 NPI

SSM Medical Group Inc.

Durable Medical Equipment & Medical Supplies · Bridgeton, MO

NPI number 1477564581 Active

Practice location

12255 De Paul Dr, Suite 500
Bridgeton, MO 63044

Call (314) 209-5180 Map

Fax (314) 209-5153

Mailing address

3221 Mckelvey Rd Ste 301
Bridgeton, MO 63044-2551

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Podiatrist	213E00000X	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.

45 other providers at this address

Other durable medical equipment & medical supplies providers in Bridgeton

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NPI record

NPI: 1477564581
Entity type: Organization (Type 2)
Issued: Aug 11, 2006
Last updated: Aug 18, 2020
Status: Active
Subpart: Yes of SSM Medical Group Inc.

Other names

<unavail>
SSM Health Medical Group · doing business as

Authorized official

Karen Rewerts
VP Financial Operations
(314) 989-2034

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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 1477564581

SSM Medical Group Inc.'s National Provider Identifier is 1477564581, issued on Aug 11, 2006. 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.