Ssm St. Joseph Health Center
Clinic/Center, Oncology, Radiation in Saint Charles, MO. Organization (NPI-2).
NPI number1154376465
StatusActive
Last updated in NPPESDec 22, 2008
Details
- NPI
- 1154376465
- Entity type
- Organization (NPI-2)
- Legal business name
- Ssm St. Joseph Health Center
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Last updated
- Dec 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0203X | Clinic/Center, Oncology, Radiation | – | – | Yes |
Other names
- St. Joseph Radiation Therapy (Doing Business As)
Practice location
1475 Kisker RdSuite 190
Saint Charles, MO 63304-8781
Phone 636-498-7800 · Fax 636-498-7819
Mailing address
1836 Lackland Hill PkwyAttnt: Credentialing Department
Saint Louis, MO 63146-3572
Phone 314-989-0300 · Fax 314-810-1399
Authorized official
Steven Johnson
Vice President
3149892072
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