SSM CARDINAL GLENNON CHILDREN'S HOSPITAL (NPI# 1508935891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508935891 |
| Entity Type | Organization |
| Organization Name | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL |
| Other Organization Name | SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS |
| Practice Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Practice Telephone | 3145775600 |
| Mailing Telephone | 3145775600 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | MR. STEVEN E BURGHART (PRESIDENT) |
| Authorized Official Telephone | 3145775613 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
429 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0966895 | 05 | |
| KY | 01441005 | 05 | |
| IN | 100034340A | 05 | |
| MO | LICENSE NUMBER | 429 | 01 |
| CO | 95018891 | 05 | |
| MO | 010155802 | 05 | |
| MS | 02884096 | 05 | |
| KS | 100376220A | 05 | |
| LA | 1747416 | 05 | |
| MI | 304785040 | 05 | |
| CA | XHSP32905 | 05 | |
| MO | 010155810 | 05 | |
| AK | 131582105 | 05 | |
| MN | 756053200 | 05 | |
| MI | 404785069 | 05 | |
| CA | XHSP42905 | 05 | |
| MO | 540155801 | 05 | |
| FL | 909155600 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St. Mary's Hospital - St. Louis | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356412308 | Ssm Cardinal Glennon Children's Hospital | Clinic/Center | 132 Professional Pkwy, Troy, MO 63379-2823 | 2006-11-13 |
| 1962573212 | Ssm Cardinal Glennon Children's Hospital | Clinic/Center | 511 Ashland Ave, Warrenton, MO 63383-1065 | 2006-11-10 |
| 1699087601 | Ssm Cardinal Glennon Children's Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Diet Office, Saint Louis, MO 63104-1003 | 2010-07-07 |
| 1669644456 | Ssm Cardinal Glennon Children's Hospital | Clinic/Center | 1475 Kisker Rd, Suite 120, Saint Charles, MO 63304-8781 | 2008-04-01 |
| 1811074651 | Ssm Cardinal Glennon Children's Hospital | Clinic/Center | 12700 Southfork Rd, Saint Louis, MO 63128-3201 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Street Address |
1465 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676921 | Gunjanpreet Kaur | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-07-21 |
| 1972128510 | Millicent Rose Palacios | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-06-09 |
| 1083241863 | Nathaniel Joseph Conner | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1467089177 | Stacy Kollanur Mathews | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1568099299 | Susan Aye Mya Oo | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1861029514 | Gregory Joseph Weissler II | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1154958874 | Brendan Michael Mcenery | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1316574049 | Satvika Mikkilineni | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1346877081 | Samuel Ryan Richey | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425289 | St Louis Children's Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-12 |
| 1679876734 | St. John's Pediatric Services | General Acute Care Hospital | 621 S New Ballas Rd, # 2003b, Saint Louis, MO 63141-8232 | 2010-12-13 |
| 1528375417 | Saint Louis Childrens Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-09-13 |
| 1699087601 | Ssm Cardinal Glennon Children's Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Diet Office, Saint Louis, MO 63104-1003 | 2010-07-07 |
| 1508181777 | St. Louis Children's Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-03-31 |
| 1699002527 | Cardinal Glennon Children's Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-11-13 |
| 1255664645 | Ssm Cardinal Glennon Children's Medical Center | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-09-16 |
| 1518181536 | St Louis Childrens Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-12 |
| 1356462493 | St. John's Mercy Child Development Center | General Acute Care Hospital | 641 N New Ballas Rd, Saint Louis, MO 63141-6713 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992183172 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2015-05-08 |
| 1669899639 | Ricole Shafer | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-03-27 |
| 1417299157 | Pediatrix | General Acute Care Hospital | 4401 Wornall Road, Saint Luke's Hospital, Kansas City, MO 64111 | 2013-03-20 |
| 1568723765 | Children's Mercy Hospitals & Clinics | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-06-04 |
| 1346518016 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-12-08 |
| 1366751950 | The Children's Mercy Hospital | General Acute Care Hospital | 3101 Broadway St, Kansas City, MO 64111-2659 | 2010-09-29 |
| 1427386960 | Childrens Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-11-20 |
| 1063535581 | Anne Clair Bisch | General Acute Care Hospital | 3165 Mckelvey Rd, Suite 110, Bridgeton, MO 63044-2550 | 2007-04-09 |
| 1942343447 | Shriners Hospitals for Children | General Acute Care Hospital | 4400 Clayton Avenue, St. Louis, MO 63110-1624 | 2007-02-14 |
| 1366515488 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on SSM CARDINAL GLENNON CHILDREN'S HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.