| Ssm Health St. Joseph Hospital - St. Charles Physician Billing | |
|
300 1st Capitol Dr Saint Charles MO 63301-2844 | |
| (636) 947-5000 | |
| (636) 947-5090 |
| Full Name | Ssm Health St. Joseph Hospital - St. Charles Physician Billing |
|---|---|
| Speciality | Emergency Medicine |
| Location | 300 1st Capitol Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Steven Johnson (PRESIDENT) |
| Authorized Official Contact | 3149892072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health St. Joseph Hospital - St. Charles Physician Billing 10176 Corporate Square Dr Ste 100b Attnt: Credentialing Department Saint Louis MO 63132-2924 Ph: (314) 989-2615 | Ssm Health St. Joseph Hospital - St. Charles Physician Billing 300 1st Capitol Dr Saint Charles MO 63301-2844 Ph: (636) 947-5000 |
| NPI Number | 1427002922 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 01/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427002922 | NPI | - | NPPES |
| 540418100 | Medicaid | MO |
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Lifepoint Dental Group Of St. Charles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 S 5th St, Suite 270, Saint Charles, MO 63301 Phone: 636-940-2543 Fax: 888-278-0530 | |
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