SSM Health Businesses

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

108-10HO Issued in MO

Legal business name

SSM HEALTH BUSINESSES

Doing business as

SSM Hospice at St. Francis Hospital

Practice address

1912 S Main St
Maryville, MO 64468-2647

Phone

(660) 562-7912

Fax

(660) 562-7914

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Alison Ruehl, RN, MBA

Title

President

Phone

(314) 989-2508

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SSM Hospice at St. Francis Hospital Doing business as

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1992770689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10143 PAGET DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322915",
            "telephone_number": "314-989-2500",
            "fax_number": "314-989-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682647",
            "telephone_number": "660-562-7912",
            "fax_number": "660-562-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH BUSINESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "RUEHL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-989-2508",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "108-10HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820494508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Hospice at St. Francis Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ilya O Stagner, FNP-C
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• Community Based Hospice Care Agency in Maryville, MO
• Providers in Maryville, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.