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DSH260005BU SSM HEALTH ST. JOSEPH HOSPITAL- SC (Active)
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Main Details
Name
SSM HEALTH ST. JOSEPH HOSPITAL- SC
Subdivision Name
SJOPC MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260005BU
Medicare Provider Number
260005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
3/13/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Holly Herring, Director, 340B Center of Excellence
(580) 512-7188
Addresses
Street Address
711 Veterans Memorial Parkway
Saint Charles, MO 63303
Billing Address
St. Joseph Hospital
300 First Capitol Drive
St. Charles, MO 63301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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