Provider Demographics
NPI:1568878411
Name:SSM HEALTH BUSINESSES
Entity type:Organization
Organization Name:SSM HEALTH BUSINESSES
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:605 E PROMENADE ST
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-2926
Practice Address - Country:US
Practice Address - Phone:573-582-8850
Practice Address - Fax:573-582-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO580563906Medicaid
MO267036Medicare Oscar/Certification