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DSH260005AU SSM ST. JOSEPH HEALTH CENTER (Terminated)
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Main Details
Name
SSM ST. JOSEPH HEALTH CENTER
Subdivision Name
SJHC Electrocardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260005AU
Medicare Provider Number
260005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
12/18/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Jeffrey Peine, Finance Director
(314) 989-3532
Addresses
Street Address
500 Medical Drive
Wentzville, MO 63385
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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