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DSH260091C SSM HEALTH ST MARY'S HOSPITAL-STL (Active)
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Main Details
Name
SSM HEALTH ST MARY'S HOSPITAL-STL
Subdivision Name
SSM Heart Institute Cardiac Imaging
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260091C
Medicare Provider Number
260091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/17/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/18/2012
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
1027 Bellevue Avenue
Suite 200
Richmond Heights, MO 63117
Billing Address
SSM St. Mary's Health Center
6420 Clayton Road
Richmond Heights, MO 63117
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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