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 1811074651

SSM Cardinal Glennon Children's Hospital is an Ambulatory Surgical Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

12700 Southfork Rd
Saint Louis, MO 63128-3201
Phone: (314) 543-5226
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 · Licence 167-1 (MO)

Record details

NPI number1811074651
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care St Louis
Authorized official Lynn Boggs — Evp/Coo · (314) 768-8032
Other names Cardinal Glennon Pediatric Surgery Center
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 15, 2011
Mailing address1465 S Grand Blvd, Saint Louis, MO 63104-1003

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