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SSM REGIONAL HEALTH SERVICES NPI 1669856829


NPI Information

NPI: 1669856829
Provider Name: SSM REGIONAL HEALTH SERVICES

Doing Business As: SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D0972912

Address:
2511 W EDGEWOOD DR STE F
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 761-7979
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SSM REGIONAL HEALTH SERVICES is a family medicine in Jefferson City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SSM REGIONAL HEALTH SERVICES NPI is 1669856829. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Medical Group - Family Medicine.

The provider's business location address is:

2511 W EDGEWOOD DR STE F
JEFFERSON CITY, MO
ZIP 65109-869
Phone: (573) 761-7979
Fax: (573) 761-0445

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 CLIA number assigned to this NPI record is 26D0972912 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 9/14/2020.


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
1261QR1300XClinic/CenterRural HealthNo
2207Q00000XFamily MedicineMISSOURIYes

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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