Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

SSM Cardinal Glennon Children's Hospital

Organization Ambulatory Surgical Clinic/Center · NPI 1669644456

SSM Cardinal Glennon Children's Hospital is an Ambulatory Surgical Clinic/Center in Saint Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008

Practice location Address checks out

1475 Kisker Rd Ste 120
Saint Charles, MO 63304-8781
Phone: (636) 498-7878
Fax: (636) 498-7420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X (MO)

Record details

NPI number1669644456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Dudley — Evp/Coo · (314) 768-8032
Other names Cardinal Glennon Pediatric Surgery Center At Medical Park
NPI enumeratedApril 1, 2008
Last updated in NPPESDecember 22, 2008
Mailing address1465 S Grand Blvd, Saint Louis, MO 63104-1003

Other providers in Saint Charles