NPIMap

Organization Active NPI

SSM Health Care St. Louis

Doing business as SSM Health St. Joseph Hospital - St. Charles

  • General Acute Care Hospital
  • Saint Charles, MO
National Provider Identifier
1467521146
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
494-0 Issued in MO
Legal business name
SSM HEALTH CARE ST. LOUIS
Doing business as
SSM Health St. Joseph Hospital - St. Charles
Practice address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone
(636) 947-5000
NPI assigned
Nov 7, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lisle Wescott
Title
President
Phone
(636) 947-5076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 494-0 MO Primary

Addresses

Primary practice location

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Mailing address

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000

Other identifiers 18

IdentifierTypeStateIssuer
911244800MedicaidFL
04782395MedicaidMS
43065267100MedicaidNE
797508MedicaidAZ
9810174000MedicaidWV
430652671003MedicaidIL
0072433MedicaidOH
010418101MedicaidMO
540418100MedicaidMO
XHSP33509MedicaidCA
XHSP43509MedicaidCA
01400399MedicaidKY
155128105MedicaidAR
430652671403MedicaidIL
1703192MedicaidLA
100398550AMedicaidKS
200023220AMedicaidOK
287522852AMedicaidGA

Other names 1

  • SSM Health St. Joseph Hospital - St. Charles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119000662 MO Part A Provider - Hospital 7810800737

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467521146. Details of each certification follow.

Hospital certification: CCN 260005

Legal name
SSM HEALTH CARE ST LOUIS
Doing business as
SSM HEALTH ST JOSEPH HOSPITAL - ST CHARLES
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 9, 2003
Beds
362
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 11, 1984 in MO
Enrollment address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
SSM St Joseph Health CenterCCN 260005 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
David a Kelley MD15 organizations share this tax ID, including this one
Part of
SSM Health Care Corporation

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christine K Jacobs Individual Corporate Director Dec 20, 2021
Snehal R Gandhi Individual Corporate DirectorBoard Member May 1, 2017
Kevin Elledge Individual Corporate DirectorBoard Member Apr 2, 2021
Jacob a Brooks Individual Corporate OfficerPresident, SSM Health SJ-SC Jan 16, 2022
Operational/Managerial ControlPresident, SSM Health SJ-SC Jan 16, 2022
Douglass Petty Individual Corporate DirectorBoard Member Jun 1, 2019
Jeremy M Fotheringham Individual Corporate OfficerRegional President, SSM Health Apr 2, 2021
Corporate DirectorBoard Member Apr 2, 2021
Timothy Allen Johnson Individual Corporate Director Dec 17, 2021
Douglas P Long Individual Corporate OfficerSecretary Jun 1, 2019
SSM Health Care Corporation Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 85%
Dennis Harms Individual Corporate DirectorBoard Member Jun 1, 2019
Eileen Lamm Individual Corporate OfficerRegional Vice President Finance Mar 23, 2020
Operational/Managerial ControlRegional Vice President Finance Mar 23, 2020
SSM Health Care St Louis Organization, Saint Louis, MO Non-profit 5% Or Greater Direct Ownership Interest Sep 11, 1984 100%
Operational/Managerial Control Oct 12, 2015
St Louis University Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 15%
Timothy Buller Individual Corporate OfficerRegional Cfo Sep 1, 2015
Operational/Managerial ControlRegional Cfo Oct 9, 2013
Randall Combs Individual Corporate OfficerTreasurer Apr 2, 2021
Joseph Yancey Individual Corporate DirectorBoard Member Apr 2, 2021
Laura Kaiser Individual Corporate OfficerPresident, Ceo, SSM Health May 1, 2017
Steven Smoot Individual Corporate OfficerVice President Jan 1, 2020
Corporate DirectorBoard Member Aug 8, 2018
Jan Cerny Individual Corporate OfficerVice Chairperson Apr 2, 2021
Corporate DirectorBoard Member Sep 1, 2015

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Snehal R Gandhi, M.D.
    • Internal Medicine Physician
    • Saint Louis, MO
    • NPI 1184608689

    Corporate Director

    CMS ownership
  • SSM Health Care St Louis

    dba SSM Health Pharmacy

    • Community/Retail Pharmacy
    • Bridgeton, MO
    • NPI 1003058371

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St Louis

    dba SSM Health Specialty Pharmacy

    • Specialty Pharmacy
    • Saint Louis, MO
    • NPI 1275265167

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St Louis

    dba SSM Health St Clare Fenton

    • Emergency Medicine Physician
    • Fenton, MO
    • NPI 1275586174

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health DePaul Hospital - St. Louis

    • Psychiatric Hospital Unit
    • Bridgeton, MO
    • NPI 1053481861

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health DePaul Hospital - Anna House

    • Skilled Nursing Facility
    • Bridgeton, MO
    • NPI 1346237112

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Mary's Hospital Physician Billing

    • Emergency Medicine Physician
    • Saint Louis, MO
    • NPI 1366400855

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health DePaul Hospital - St. Louis

    • General Acute Care Hospital
    • Bridgeton, MO
    • NPI 1598835308

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health Prescription Center

    • Community/Retail Pharmacy
    • O'Fallon, MO
    • NPI 1639928690

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Mary's Hospital - St. Louis

    • Psychiatric Hospital Unit
    • Saint Louis, MO
    • NPI 1780763284

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Mary's Hospital - St. Louis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Saint Louis, MO
    • NPI 1831278332

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Clare Hospital - Fenton

    • General Acute Care Hospital
    • Fenton, MO
    • NPI 1851496152

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 14

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health St. Clare Hospital - FentonFenton, MO, CCN 260081 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health Rehabilitation HospitalRichmond Heights, MO, CCN 263031 Hospital 5% Or Greater Direct Ownership Interest (49%) May 1, 2009
SSM Health Saint Louis University HospitalSaint Louis, MO, CCN 260105 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health Saint Louis University HospitalSaint Louis, MO, CCN 26S105 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health St Joseph Hospital - Lake Saint LouisLake Saint Louis, MO, CCN 260200 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 17, 2014
SSM Health St. Mary's Hospital - St. LouisSaint Louis, MO, CCN 26S091 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 13, 2014
SSM Health St. Mary's Hospital - St LouisSaint Louis, MO, CCN 260091 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 11, 1984
SSM Health Depaul Hospital St LouisBridgeton, MO, CCN 26S104 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2013
SSM Health Depaul Hospital - St LouisBridgeton, MO, CCN 260104 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 10, 2014
SSM Health Depaul Hospital - Anna HouseBridgeton, MO, CCN 265842 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2015

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

Affiliated clinicians 615

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 615

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1467521146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-947-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-947-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE ST. LOUIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE CORPORATION",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WESCOTT",
        "authorized_official_first_name": "LISLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-947-5076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "494-0",
            "primary": true
        }
    ],
    "identifiers": [
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            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "911244800",
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        },
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04782395",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43065267100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797508",
            "state": "AZ"
        },
        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9810174000",
            "state": "WV"
        },
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            "identifier": "430652671003",
            "state": "IL"
        },
        {
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            "issuer": null,
            "identifier": "0072433",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010418101",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540418100",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP33509",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP43509",
            "state": "CA"
        },
        {
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            "issuer": null,
            "identifier": "01400399",
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            "identifier": "430652671403",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703192",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100398550A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023220A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287522852A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SSM Health St. Joseph Hospital - St. Charles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health St. Joseph Hospital - St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.