SSM HEALTH CARDINAL GLENNON TRANSPORT
NPI 1285206888
Ambulance in Saint Louis, MO

Q: What is Ssm Health Cardinal Glennon Transport's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Active since July 13, 2021

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4168 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ssm Health Cardinal Glennon Transport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSM HEALTH CARDINAL GLENNON TRANSPORT (NPI 1285206888), doing business as Ssm Cardinal Glennon Children's - - Saint Louis, Mo, is a healthcare organization registered as an ambulance in Saint Louis, Missouri and active in the NPI registry since July 2021. The organization lists Brandie Tieken, Director, as its authorized official.

NPPES Registry Identity

NPI1285206888

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameSSM HEALTH CARDINAL GLENNON TRANSPORT

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 268-4168

Phone(314) 268-4168

Organization SubpartNo

Authorized OfficialBrandie TiekenDirector · (314) 268-4168

Enumeration DateJuly 13, 2021

NPPES CertifiedJuly 13, 2021

✔ NPI 1285206888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

1465 S GRAND BLVD, Saint Louis, MO 63104

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Other Names 1

Former Legal Business NameSsm Cardinal Glennon Children's - - Saint Louis, Mo

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ssm Health Cardinal Glennon Transport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMissouriEnrollment IDO20220211001386Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

MS. MASHAL AZIZ RANA MBBS

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
ST.LOUIS, MO 63104

St. Louis City (314) 577-5382

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

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 Health Cardinal Glennon Transport's NPI number?

The NPI number for Ssm Health Cardinal Glennon Transport is 1285206888. It was assigned to this organization in the NPPES registry on July 13, 2021. The provider was formerly known as Ssm Cardinal Glennon Children's - - Saint Louis, MO.

Where is Ssm Health Cardinal Glennon Transport located?

Ssm Health Cardinal Glennon Transport is located at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4168.

What is Ssm Health Cardinal Glennon Transport's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Ssm Health Cardinal Glennon Transport enrolled in Medicare?

Yes. Ssm Health Cardinal Glennon Transport is registered in the Medicare PECOS enrollment system.

When is Ssm Health Cardinal Glennon Transport's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Ambulance Service Supplier) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Ssm Health Cardinal Glennon Transport was last updated on July 13, 2021. 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.