Ssm Cardinal Glennon Children's Hospital | |
511 Ashland Ave Warrenton MO 63383-1065 | |
(636) 456-0543 | |
Not Available |
Full Name | Ssm Cardinal Glennon Children's Hospital |
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Speciality | Pediatrics |
Location | 511 Ashland Ave, Warrenton, 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 |
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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 511 Ashland Ave Warrenton MO 63383-1065 Ph: (636) 456-0543 |
NPI Number | 1962573212 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 07/19/2019 |
Medicare PECOS PAC ID | 7012828163 |
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Medicare Enrollment ID | O20200204002985 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962573212 | NPI | - | NPPES |
599262300 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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