| Ssm St. Joseph Endoscopy Center, Llc | |
|
4203 S Clover Leaf St. Louis MO 63376-6452 | |
| (636) 498-7400 | |
| (314) 344-7281 |
| Full Name | Ssm St. Joseph Endoscopy Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4203 S Clover Leaf, St. Louis, Missouri |
| Authorized Official Name and Position | Karen Rewerts (SYSTEM VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 3149896843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm St. Joseph Endoscopy Center, Llc 10176 Corporate Square Dr Ste 110 Saint Louis MO 63132-2924 Ph: (314) 989-6843 | Ssm St. Joseph Endoscopy Center, Llc 4203 S Clover Leaf St. Louis MO 63376-6452 Ph: (636) 498-7400 |
| NPI Number | 1871536037 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 01/11/2018 |
| Medicare PECOS PAC ID | 0840181731 |
|---|---|
| Medicare Enrollment ID | O20040322000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871536037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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