SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL – NPI #1174577670
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL is a provider located in O'FALLON, IL. NPPES has assigned the NPI number 1174577670 to SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL” is a dba name, the actual legal business name for this organization is SSM CARDINAL GLENNON CHILDRENS HOSPITAL. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Sep 30, 2020. 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 SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL below.

NPI Profile for
SSM CARDINAL GLENNON CHILDRENS HOSPITAL

NPI Number
1174577670
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SSM CARDINAL GLENNON CHILDRENS HOSPITAL
Doing Business As (dba): SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL
Primary location
1 SAINT ELIZABETH BLVD
O'FALLON, IL 62269-1099
Phone: (618) 234-2120 Fax:
3 Other location(s):
226 S Woods Mill Rd Ste 62W
Chesterfield, MO 63017-3665
Phone: (314) 469-3990
Fax: (314) 344-7281
13000 Butler Crest Dr
Saint Louis, MO 63128-4276
Phone: (314) 842-3535
Fax: (314) 344-7281
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5600
Fax: (314) 268-6468
Mailing address
1145 CORPORATE LAKE DR
SAINT LOUIS, MO 63132-2907
Phone: (314) 989-6843 Fax: (314) 989-7281
Organization Subpart
Yes - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL is subpart of another organization.
Authorized Official
KAREN REWERTS
VP FINANCE
Phone: (314) 989-2034
Updated
Certification Date
Aug 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO540155801
Taxonomy Code(s)

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.

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.