| Organization Name: | SSM ST CLARE SURGICAL CENTER LLC |
| NPI Number: | 1033351119 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE L REED (OFFICER/AUTHORIZED OFFICIAL) |
| Mailing Address: | 1055 Bowles Ave Ste 100 Fenton |
| State: | MO US |
| Postal Code: | 630262308 |
| Phone Number: | 6362039700 |
| Fax Number: | 6362039779 |
| NPI Enumeration Date: | 04/03/2009 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 229-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |