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DSH260005BJ SSM ST. JOSEPH HEALTH CENTER (Terminated)
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Main Details
Name
SSM ST. JOSEPH HEALTH CENTER
Subdivision Name
SSM / Vascular Procedure Center, Suite 100
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260005BJ
Medicare Provider Number
260005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
4/1/2020
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
330 First Capitol MOB 1, Suite 100
St. Charles, MO 63301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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