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DSH260005AN SSM ST. JOSEPH HEALTH CENTER (Terminated)
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Main Details
Name
SSM ST. JOSEPH HEALTH CENTER
Subdivision Name
CARDIO THORACIC SERVICES INC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260005AN
Medicare Provider Number
260005
Outpatient Facility Provider Number
260005
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
12/18/2019
Site closure
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
1551 Wall Street
Suite 330
St. Charles, MO 63303
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/11/15 Participated starting 10/1/14, terminated 1/1/15 through 10/1/15 due to No expenses/revenues on 2013 filed CR, reinstated based on new registration submitted 7/7/15
08/11/2015
May 2025
May 2025
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