Provider Type Icon

SSM REGIONAL HEALTH SERVICES NPI 1649217837


NPI Information

NPI: 1649217837
Provider Name: SSM REGIONAL HEALTH SERVICES

Doing Business As: SSM HEALTH MEDICAL GROUP- CARDIOTHORACIC SURGERY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2505 MISSION DR
SUITE 310
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 681-3751
Get Directions

SSM REGIONAL HEALTH SERVICES is a clinic center in Jefferson City, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SSM REGIONAL HEALTH SERVICES NPI is 1649217837. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Medical Group- Cardiothoracic Surgery.

The provider's business location address is:

2505 MISSION DR
SUITE 310
JEFFERSON CITY, MO
ZIP 65109-508
Phone: (573) 681-3751
Fax: (573) 681-3624

The provider's authorized official is Garrick Elliott Mueller .
The authorized official title is Cfo and has the following contact phone number (405) 280-7582.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 9/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1504456807MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.