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DSH260091AQ SSM ST MARY'S HEALTH CENTER (Terminated)
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Main Details
Name
SSM ST MARY'S HEALTH CENTER
Subdivision Name
SSMMG ST. MARYS - GEN SURG
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260091AQ
Medicare Provider Number
260091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/23/2015
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
10/1/2020
Failure to recertify
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
1035 Bellevue, Suite 500
Richmond Heights, MO 63117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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