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SSM MEDICAL GROUP NPI 1649459215


NPI Information

NPI: 1649459215
Provider Name: SSM MEDICAL GROUP

Doing Business As: EUREKA MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D0971518

Address:
20 THE LEGENDS PKWY
SUITE 100
EUREKA, MO
ZIP 63025
Phone: (636) 938-7888
Get Directions

SSM MEDICAL GROUP is a multi-specialty clinic center in Eureka, MO. SSM MEDICAL GROUP NPI is 1649459215. The provider is registered as an organization entity type.
The provider Is Doing Business As Eureka Medical Group.

The provider's business location address is:

20 THE LEGENDS PKWY
SUITE 100
EUREKA, MO
ZIP 63025-821
Phone: (636) 938-7888
Fax: (636) 938-7171

The provider's authorized official is Lesa M Schnarr .
The authorized official title is Director and has the following contact phone number (314) 951-5330.

The CLIA number assigned to this NPI record is 26D0971518 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/30/2007 and was last updated on 11/8/2007.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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

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