Ssm Cardinal Glennon Childrens Hospital
Pediatrics
Ssm Cardinal Glennon Childrens Hospital is a O Fallon, Illinois based Pediatric center with medical specialization in
General Pediatrics. Ssm Cardinal Glennon Childrens Hospital is doing business as
Ssm Health Cardinal Glennon Children's Hospital.
It is located at
1 Saint Elizabeth Blvd, O Fallon, Illinois - 62269-1099. They can be contacted on phone at
618-234-2120.
NPI number (Unique professional ID) for Ssm Cardinal Glennon Childrens Hospital is
1174577670 which was assigned by NPPES on 19 May, 2006 and it was last updated on 30 Sep, 2020.
Ssm Cardinal Glennon Childrens Hospital is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ssm Cardinal Glennon Childrens Hospital basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ssm Cardinal Glennon Childrens Hospital |
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| Other Name : | Ssm Health Cardinal Glennon Children's Hospital |
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Business Address:
Ssm Cardinal Glennon Childrens Hospital address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Saint Elizabeth Blvd
O Fallon, IL, 62269-1099
United States |
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| Phone Number : | 618-234-2120 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174577670 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 May, 2006 |
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| Last Updated On : | 30 Sep, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Karen Rewerts |
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| Official Title or Position : | VP FINANCE |
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| Phone Number : | 314-989-2034 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ssm Cardinal Glennon Childrens Hospital are as mentioned. Primary taxonomy code for Ssm Cardinal Glennon Childrens Hospital is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 103T00000X | Psychologist | No | | |
| 104100000X | Social Worker | No | | |
| 207ZC0500X | Pathology Cytopathology | No | | |
| 208000000X | Pediatrics | Yes | | |
| 2084P0800X | Psychiatry & Neurology Psychiatry | No | | |
| 2085B0100X | Radiology Body Imaging | No | | |
| 2080B0002X | Pediatrics Obesity Medicine | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Ssm Cardinal Glennon Childrens Hospital such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 540155801 | MEDICAID | MO | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
United States | SAINT LOUIS, MO | 314-577-5600 |
13000 BUTLER CREST DR,
SAINT LOUIS, MO, 63128-4276
United States | SAINT LOUIS, MO | 314-842-3535 |
226 S WOODS MILL RD STE 62W,
CHESTERFIELD, MO, 63017-3665
United States | CHESTERFIELD, MO | 314-469-3990 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1145 Corporate Lake Dr
Saint Louis, MO, 63132-2907
United States |
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| Phone Number : | 314-989-6843 |
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| Fax Number : | 314-989-7281 |
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Business Location:
Patients can refer following map for directions to
Ssm Cardinal Glennon Childrens Hospital practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.