SSM AUDRAIN HEALTH CARE, INC (NPI# 1518340306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518340306 |
Entity Type | Organization |
Organization Name | SSM AUDRAIN HEALTH CARE, INC |
Other Organization Name | SSM HEALTH URGENT CARE |
Practice Address |
3626 S Clark St Mexico MO 65265-4104 |
Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
Practice Telephone | 5735818127 |
Enumeration Date | 2015-06-30 |
Last Update Date | 2020-05-22 |
Authorized Official Name | JAMES STRATTON (CFO) |
Authorized Official Telephone | 5736813129 |
Is Organization Subpart | Y |
Parent Organization Name | SSM AUDRAIN HEALTH CARE, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SSM HEALTH URGENT CARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
1053826727 | Ssm Audrain Health Care, Inc | Clinic/Center | 620 E Monroe St, Mexico, MO 65265-2919 | 2017-12-04 |
1043660566 | Ssm Audrain Health Care, Inc | Clinic/Center | 515 E Promenade St, Mexico, MO 65265-2966 | 2016-06-15 |
1457712903 | Ssm Audrain Health Care, Inc | Psychiatry & Neurology | 620 E Monroe St, Mexico, MO 65265-2919 | 2016-03-11 |
1316320104 | Ssm Audrain Health Care, Inc | Orthopaedic Surgery | 515 E Promenade St, Mexico, MO 65265-2966 | 2015-06-30 |
1841334836 | Ssm Audrain Health Care, Inc | General Acute Care Hospital | 620 E Monroe St, Mexico, MO 65265-2919 | 2007-02-16 |
1952390122 | Ssm Audrain Health Care, Inc | General Acute Care Hospital | 620 E Monroe St, Mexico, MO 65265-2919 | 2005-10-19 |
Street Address |
3626 S CLARK ST |
City | MEXICO |
State | MO |
Zip Code | 65265-4104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801890256 | Ahmad H Muraywid | Pediatrics | 3626 S Clark St, Suite A, Mexico, MO 65265-4104 | 2005-06-13 |
1558757468 | Dawn Schuette | Nurse Practitioner | 3626 S Clark St, Suite C, Mexico, MO 65265-4104 | 2015-04-08 |
1457695330 | Kayla Ann Payton | Nurse Practitioner | 3626 S Clark St, Suite A, Mexico, MO 65265-4104 | 2012-11-16 |
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 |
1114942273 | Simon Mckeown | Family Medicine | 3626 S Clark St, Mexico, MO 65265-4104 | 2006-07-12 |
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 |
Find all providers in zip 65265 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
1699330324 | Urgent Care of Missouri | Clinic/Center | 1721 La Questa Dr Ste 5, Neosho, MO 64850-9000 | 2019-05-08 |
1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
Find all providers with the same taxonomy |
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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.