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DSH260091 SSM HEALTH ST MARY'S HOSPITAL-STL (Active)
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Main Details
Name
SSM HEALTH ST MARY'S HOSPITAL-STL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260091
Medicare Provider Number
260091
Additional Details
Current Program Status
Active
Registration Date
8/28/2006
Participating Start Date
10/1/2006
Participating Approval Date
8/29/2006
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Holly Herring, Director, 340B Center of Excellence
(580) 512-7188
Addresses
Street Address
6420 CLAYTON ROAD
ST. LOUIS, MO 63117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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FEB. 5, 2007 - PER REQUEST FROM T. FRANKE, REMOVED MEDICAID NUMBERS (WAS 010418101 AND 602252611)
08/28/2006
April 2025
April 2025
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