| Ssm Cardinal Glennon Children's Hospital | |
|
132 Professional Pkwy Troy MO 63379-2823 | |
| (636) 462-5437 | |
| Not Available |
| Full Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Speciality | Pediatrics |
| Location | 132 Professional Pkwy, Troy, Missouri |
| Authorized Official Name and Position | Tim Buller (REGIONAL CFO - FINANCIAL STRATEGY) |
| Authorized Official Contact | 3149892173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Cardinal Glennon Children's Hospital 1195 Corporate Lake Dr Saint Louis MO 63132-1716 Ph: (314) 989-3524 | Ssm Cardinal Glennon Children's Hospital 132 Professional Pkwy Troy MO 63379-2823 Ph: (636) 462-5437 |
| NPI Number | 1356412308 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 7012828163 |
|---|---|
| Medicare Enrollment ID | O20200121000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356412308 | NPI | - | NPPES |
| 505459107 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 91 Troy Sq, Troy, MO 63379 Phone: 844-853-8937 | |
Mercy Hospital Lincoln Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 E Cherry St, Troy, MO 63379 Phone: 636-528-8585 | |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |
Lincoln County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 E Cherry St, Troy, MO 63379 Phone: 636-528-6755 Fax: 636-528-6965 | |
Lincoln County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Cherry St, Troy, MO 63379 Phone: 636-528-8585 Fax: 636-528-8430 | |
Ssm St. Charles Clinic Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Professional Parkway, Troy, MO 63379 Phone: 636-462-6106 Fax: 636-669-2401 | |
Mercy Hospital Lincoln Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1165 E Cherry St, Troy, MO 63379 Phone: 636-528-7722 |