Provider Demographics
NPI:1053440511
Name:SSM HEALTH BUSINESSES
Entity type:Organization
Organization Name:SSM HEALTH BUSINESSES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-260-3567
Mailing Address - Street 1:12312 OLIVE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6448
Mailing Address - Country:US
Mailing Address - Phone:314-989-2500
Mailing Address - Fax:314-989-3901
Practice Address - Street 1:601 NW 11TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2415
Practice Address - Country:US
Practice Address - Phone:405-231-2992
Practice Address - Fax:405-231-2993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SSM HEALTH BUSINESSES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO260494505Medicaid