SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE


Address: 2511 W Edgewood Dr, Ste F, Jefferson City, MO 65109-5869
Phone: 5736344133

SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE (NPI# 1528014123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528014123
Entity Type Organization
Organization Name SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE
Other Organization Name OCCUPATIONAL MEDICINE
Practice Address 2511 W Edgewood Dr
Ste F
Jefferson City
MO 65109-5869
Mailing Address Po Box 1027
Jefferson City
MO 65102-1027
Practice Telephone 5736344133
Practice Fax Number 5737616947
Mailing Telephone 5573761724
Mailing Fax Number 5737616947
Enumeration Date 2006-05-25
Last Update Date 2007-07-28
Authorized Official Name BRENT VAN CONIA (PRESIDENT)
Authorized Official Telephone 5737617000
Is Organization Subpart Y
Parent Organization Name SSM REGIONAL HEALTH SERVICES
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Occupational Medicine Doing Business As Name - Organization

Office Location

Street Address 2511 W EDGEWOOD DR
STE F
City JEFFERSON CITY
State MO
Zip Code 65109-5869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459503 Elizabeth Ann Hosmer Family Medicine 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2005-07-05
1740720358 Erin Briana Gerloff Nurse Practitioner 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2017-03-01
1689038101 Elizabeth Marie Fagiolo General Acute Care Hospital 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109 2016-04-11
1689031254 Jillynn Rachele Hull Nurse Practitioner 2511 W Edgewood Dr, Suite G, Jefferson City, MO 65109-5869 2016-01-26
1295140432 Treesa Renee Riedel Nurse Practitioner 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2014-06-26
1598995359 Sadia Malik Family Medicine 2511 W Edgewood Dr, Ste F, Jefferson City, MO 65109-5869 2009-07-15
1831288869 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2006-10-11
1629011812 Garry D Pearson Family Medicine 2511 W Edgewood Dr, Suite F, Jefferson City, MO 65109-5869 2006-06-14
1790722437 Neville Davis Emergency Medicine 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2006-06-01
1144277815 James Alan Corbett Nurse Practitioner 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2006-05-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1356522916 Walk Easy LLC Durable Medical Equipment & Medical Supplies 4810 Rainbow Dr., Jefferson City, MO 65109 2007-11-23
Find all providers in zip 65109

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396782587 Ssm Regional Health Services Clinic/Center 3348 American Ave, Jefferson City, MO 65109-1079 2006-05-31
1366865263 Align Chiropractic Clinic LLC Clinic/Center 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 2014-01-28
1487961173 Mountain View Pediatrics and Internal Medicine Clinic/Center 657 E Broadway Blvd, Jefferson City, TN 37760-4948 2010-09-02
1588979900 Capital Region Medical Center Clinic/Center 1616 Southridge Dr, Suite 203, Jefferson City, MO 65109-5677 2010-08-10
1770804734 Capital Region Medical Center Clinic/Center 1125 Madison St, Jefferson City, MO 65101-5227 2010-06-14
1942528930 Jefferson Pulmonary Group Clinic/Center 120 Hospital Dr Ste 220, Jefferson City, TN 37760-5286 2010-05-14
1740415025 Jefferson Hearts Consultants Clinic/Center 120 Hospital Dr, Suite 250, Jefferson City, TN 37760-5287 2009-05-15
1962637231 Baptist Primary & Senior Healthcare Clinic Jefferson City Clinic/Center 1413 Russell Ave, Jefferson City, TN 37760-2562 2009-05-15
1467597872 Family Counseling Center of Missouri Inc Clinic/Center 204 Metro Dr, Suite B, Jefferson City, MO 65109-4408 2007-02-21
1679510861 Ssm Regional Health Services Clinic/Center 200 Saint Marys Plz, Suite 201, Jefferson City, MO 65101-1604 2006-05-31
Find all providers in JEFFERSON CITY

Competitor

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City JEFFERSON CITY
Zip Code 65109

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Dataset Information

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.

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