| Ssm Medical Group Inc. | |
|
1101 Highway K O Fallon MO 63366 | |
| (636) 379-6363 | |
| (636) 379-1297 |
| Full Name | Ssm Medical Group Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1101 Highway K, O Fallon, Missouri |
| Authorized Official Name and Position | Bridget Eder (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 6366692268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Medical Group Inc. 1551 Wall St Suite 310 Saint Charles MO 63303-3541 Ph: (636) 669-2268 | Ssm Medical Group Inc. 1101 Highway K O Fallon MO 63366 Ph: (636) 379-6363 |
| NPI Number | 1548578750 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548578750 | NPI | - | NPPES |
| 501133607 | Medicaid | MO |
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