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DSH260091H SSM ST MARY'S HEALTH CENTER (Terminated)
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Main Details
Name
SSM ST MARY'S HEALTH CENTER
Subdivision Name
CGCMC Pediatric Specialists at Anderson
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260091H
Medicare Provider Number
260091
Outpatient Facility Provider Number
260091
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/11/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Greta Geringer, Finance Director
(314) 989-3518
Addresses
Street Address
2133 Vadalabene Drive
Maryville, IL 62062
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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