Provider Demographics
NPI:1669446431
Name:SSM HEALTH BUSINESSES
Entity Type:Organization
Organization Name:SSM HEALTH BUSINESSES
Other - Org Name:SSM HOME CARE AT ST. FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUEHL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:314-989-2508
Mailing Address - Street 1:10143 PAGET DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2915
Mailing Address - Country:US
Mailing Address - Phone:314-989-2500
Mailing Address - Fax:314-989-2503
Practice Address - Street 1:1912 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468-2647
Practice Address - Country:US
Practice Address - Phone:660-562-7904
Practice Address - Fax:660-562-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-16
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO701-10HH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO580494508Medicaid
MO580494508Medicaid