SSM HEALTH MEDICAL GROUP
NPI 1124579966
Durable Medical Equipment & Medical Supplies in Fenton, MO
About Ssm Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SSM HEALTH MEDICAL GROUP (NPI 1124579966) is a healthcare organization registered as a durable medical equipment & medical supplies in Fenton, Missouri and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Karen Rewerts, Vp Financial Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 26D2013195
Ssm Health Medical Group-Ssm Cancer Care St Clare · Fenton, MOCertificate of Waiver 26D2111647
Ssm Health Medical Group Executive Health South · Fenton, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FENTON, MO 63026
FENTON, MO 63026
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ssm Medical Group Inc.'s NPI number?
The NPI number for Ssm Medical Group Inc. is 1124579966. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Ssm Health Medical Group.
Where is Ssm Medical Group Inc. located?
Ssm Medical Group Inc. is located at 1011 Bowles Ave Suite 400, Fenton, MO 63026. The listed phone number is (636) 496-5030.
What is Ssm Medical Group Inc.'s specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Ssm Medical Group Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Ssm Medical Group Inc. was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ssm Health Medical Group · NPI 1124579966
Durable Medical Equipment & Medical Supplies organization in Fenton, Missouri. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1124579966 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Legal business name:** Ssm Medical Group Inc.
- **Organization subpart:** No
- **Authorized official:** Karen Rewerts, VP FINANCIAL OPERATIONS
## Practice location
- **Address:** 1011 BOWLES AVE, SUITE 400, Fenton, MO 63026-2395
- **Phone:** (636) 496-5030
## Record status
- **NPPES last updated:** August 18, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124579966) · Data from the CMS NPPES public registry.