CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK – NPI #1669644456
Clinic/Center
CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK is an AHC clinic located in SAINT CHARLES, MO. NPPES has assigned the NPI number 1669644456 to CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK on April 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK” is a dba name, the actual legal business name for this organization is SSM CARDINAL GLENNON CHILDREN'S HOSPITAL. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 17 years ago on Dec 22, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK below.
NPI Profile for
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
(more than 18 years ago)
SUITE 120
SAINT CHARLES, MO 63304-8781 Phone: (636) 498-7878 Fax: (636) 498-7420
SAINT LOUIS, MO 63104-1003 Phone: (314) 577-5600 Fax:
EVP/COO
Phone: (314) 768-8032
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
MO |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.