Ssm Cardinal Glennon Children's Hospital
NPI 1962573212ActiveOrganization· Pediatrics· Warrenton, MO
Pediatrics in Warrenton, Missouri, registered in NPPES in November 2006, part of Ssm Health Care St. Louis. The authorized official on file is Tim Buller, Regional Cfo - Financial Strategy. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1962573212 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssm Health Care St. Louis |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | Jul 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (MO) |
|---|
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