SSM AUDRAIN HEALTH CARE, INC. (NPI# 1356712871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356712871 |
| Entity Type | Organization |
| Organization Name | SSM AUDRAIN HEALTH CARE, INC. |
| Other Organization Name | SSM HEALTH ST. MARY'S HOSPITAL - AUDRAIN |
| Practice Address |
620 E Monroe St Mexico MO 65265-2919 |
| Practice Telephone | 5735825000 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | TIMOTHY BULLER (REGIONAL CFO, FINANCIAL STRATEGY) |
| Authorized Official Telephone | 3149892173 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| SSM Health St. Mary's Hospital - Audrain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801225982 | Ssm Audrain Health Care, Inc. | Clinic/Center | 201 S. Main, Auxvasse, MO 65231 | 2013-11-08 |
| 1255340246 | Ssm Audrain Health Care, Inc. | Family Medicine | 1223 Main Street, Perry, MO 63462 | 2006-08-07 |
| 1336576008 | Ssm Audrain Health Care, Inc. | Obstetrics & Gynecology | 605 E Promenade St, Suite A, Mexico, MO 65265-2926 | 2013-09-26 |
| 1548520026 | Ssm Audrain Health Care, Inc. | Family Medicine | 221 N Main St, Paris, MO 65275-1328 | 2012-05-18 |
| 1336350214 | Ssm Audrain Health Care, Inc. | Family Medicine | 3626 S Clark St, Suite A, Mexico, MO 65265-4104 | 2007-05-24 |
| 1790838316 | Ssm Audrain Health Care, Inc. | Family Medicine | 3626 S Clark St, Mexico, MO 65265-4104 | 2007-01-18 |
| 1457469637 | Ssm Audrain Health Care, Inc. | Pediatrics | 3626 S Clark St Ste A, Mexico, MO 65265-4104 | 2006-08-28 |
| 1477563625 | Ssm Audrain Health Care, Inc. | Family Medicine | 625 E Summit St, Mexico, MO 65265-3294 | 2006-08-09 |
| 1871503466 | Ssm Audrain Health Care, Inc. | Internal Medicine | 600 Medical Park Dr, Mexico, MO 65265-3724 | 2006-08-08 |
| 1467462010 | Ssm Audrain Health Care, Inc. | Family Medicine | 626 E Summit St Ste L, Mexico, MO 65265-3298 | 2006-08-08 |
| Street Address |
620 E MONROE ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659140 | Medical Imaging Associates of Mexico Mo | Radiology | 620 E Monroe St, Mexico, MO 65265-2919 | 2005-06-17 |
| 1053826727 | Ssm Audrain Health Care, Inc | Clinic/Center | 620 E Monroe St, Mexico, MO 65265-2919 | 2017-12-04 |
| 1225553621 | Zahir Abbas Sheth | Pharmacist | 620 E Monroe St, Mexico, MO 65265-2919 | 2017-08-07 |
| 1457712903 | Ssm Audrain Health Care, Inc | Psychiatry & Neurology | 620 E Monroe St, Mexico, MO 65265-2919 | 2016-03-11 |
| 1457743148 | Audrain Physician Services LLC | Physician Assistant | 620 E Monroe St, Mexico, MO 65265-2919 | 2015-03-04 |
| 1407287378 | Michelle Hoeing | Dietitian, Registered | 620 E Monroe St, Mexico, MO 65265-2919 | 2013-12-03 |
| 1164706917 | Krystle Leigh Blunk | Dietitian, Registered | 620 E Monroe St, Mexico, MO 65265-2919 | 2011-09-28 |
| 1326334459 | Osamede Edokpolo | Psychiatry & Neurology | 620 E Monroe St, Mexico, MO 65265-2919 | 2011-06-27 |
| 1487987731 | Audrain Ambulance District | Ambulance | 620 E Monroe St, Mexico, MO 65265-2919 | 2009-09-17 |
| 1639311590 | Shellie Lynn Shaw | Dietitian, Registered | 620 E Monroe St, Mexico, MO 65265-2919 | 2009-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033499256 | University of Missori Health System | Psychiatric Unit | Dept of Medicine Univ of Missouri, One Hospital Drive Ne402, Columbia, MO 65212-0001 | 2011-08-18 |
| 1629391636 | Farmington Missouri Hospital Company, LLC | Psychiatric Unit | 1212 Weber St., Farmington, MO 63640-3325 | 2010-03-04 |
| 1346312873 | Phelps County Regional Medical Center | Psychiatric Unit | 1000 West 1oth Street, Rolla, MO 65401 | 2006-11-13 |
| 1700831724 | Poplar Bluff Regional Medical Center LLC | Psychiatric Unit | 3100 Oak Grove Rd., Poplar Bluff, MO 63901 | 2006-05-24 |
| 1912989351 | Cass Medical Center | Psychiatric Unit | 1800 E Mechanic St, Harrisonville, MO 64701-2017 | 2005-11-18 |
| 1124012356 | Columbia Regional Hospital - Psychiatric Unit | Psychiatric Unit | 404 Keene St, Columbia, MO 65201-6626 | 2005-09-02 |
| 1023017746 | St Alexius Hospital Corporation 1 | Psychiatric Unit | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2005-07-14 |
| 1427661792 | Noble Health Fulton Inc. | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1376031757 | Prime Healthcare Services - Kansas City LLC | Psychiatric Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.