| Ssm Health Medical Group | |
|
1120 Shackelford Rd Florissant MO 63031 | |
| (314) 921-4420 | |
| (314) 921-6086 |
| Full Name | Ssm Health Medical Group |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1120 Shackelford Rd, Florissant, Missouri |
| Authorized Official Name and Position | Karen Rewerts (VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 3149892034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Medical Group Po Box 955534 Saint Louis MO 63195-5534 Ph: () - | Ssm Health Medical Group 1120 Shackelford Rd Florissant MO 63031 Ph: (314) 921-4420 |
| NPI Number | 1194736116 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 6608776299 |
|---|---|
| Medicare Enrollment ID | O20180922000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194736116 | NPI | - | NPPES |
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