SSM HEALTH CARDINAL GLENNON TRANSPORT
NPI 1285206888
Ambulance in Saint Louis, MO

NPI Status: Active since July 13, 2021

Contact Information

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 268-4168

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  • Organization
  • Ambulance
  • CLIA Number: 26D0045275
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About SSM HEALTH CARDINAL GLENNON TRANSPORT

This page provides the complete NPI Profile along with additional information for Ssm Health Cardinal Glennon Transport, a provider established in Saint Louis, Missouri operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1285206888 assigned on July 2021. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brandie Tieken Rn (Director)

NPI
1285206888
Provider Name
SSM HEALTH CARDINAL GLENNON TRANSPORT
Entity Type
Organization
Location Address
1465 S GRAND BLVD SAINT LOUIS, MO 63104
Location Phone
(314) 268-4168
Mailing Address
1465 S GRAND BLVD SAINT LOUIS, MO 63104
Mailing Phone
(314) 268-4168
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2021
Last Update Date
07-13-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRANDIE TIEKEN RN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(314) 268-4168

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0045275
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. MIGUEL A. GUZMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ssm Health Cardinal Glennon Transport on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for SSM HEALTH CARDINAL GLENNON TRANSPORT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285206888
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221654012816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 0 + 1 + 2 + 8 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285206888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114970696 ADRIENNE G TILBOR DO
Individual
Physical Medicine & Rehabilitation1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1841243888 CYNTHIA KARDESCH MD
Individual
Physical Medicine & Rehabilitation1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1477507945 SOHAIL MAQBOOL MD
Individual
Radiology (Diagnostic Radiology)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1467407841 MEGHAN M GUERRA MD
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 268-6406
1710932892 GREGORY LAUNIUS MD
Individual
Radiology (Pediatric Radiology)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1407802358 BARBARA BARNES PHD
Individual
Psychologist1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1134175847 TIMOTHY W STAED MD
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1639125305 KAREN SNYDER MS
Individual
Psychologist1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1851347074 ELLEN SCOTT PHD
Individual
Psychologist1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5600
1316984586 HEATHER HALL MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5642
1679514889DR. AKIHIKO NOGUCHI M.D
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 977-6828
1033130588 JAY NOFFSINGER MD
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5369
1114937711DR. ALAN PAUL KNUTSEN MD
Individual
Pediatrics (Pediatric Allergy/Immunology)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 268-4014
1851301097 TERESA B SCHIFF MD
Individual
Pediatrics (Pediatric Emergency Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5360
1851302475 DENNIS M O'CONNOR MD
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5644
1811908353 ANN DIMAIO MD
Individual
Pediatrics (Pediatric Emergency Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5360
1477564763 ROBERT E LYNCH MD
Individual
Pediatrics (Pediatric Critical Care Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5395
1497868343 DANIEL R SCHLESINGER MD
Individual
Pediatrics (Pediatric Emergency Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5360
1528163706 MARIANNE R DUNSTAN-BRADY MD
Individual
Pediatrics1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 268-6406
1295824811DR. ALBERT K NAKANISHI MD
Individual
Pediatrics (Pediatric Emergency Medicine)1465 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 577-5360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285206888, enumerated in the NPI registry as an "organization" on July 13, 2021

The provider is located at 1465 S Grand Blvd Saint Louis, Mo 63104 and the phone number is (314) 268-4168

This medical organization specializes in Ambulance with taxonomy code 341600000X

The provider's CLIA number is 26D0045275 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.