SSM AUDRAIN HEALTH CARE, INC. (NPI# 1548520026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548520026 |
| Entity Type | Organization |
| Organization Name | SSM AUDRAIN HEALTH CARE, INC. |
| Other Organization Name | SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE |
| Practice Address |
221 N Main St Paris MO 65275-1328 |
| Practice Telephone | 6603274000 |
| Practice Fax Number | 6603274007 |
| Mailing Telephone | 6603274000 |
| Mailing Fax Number | 6603274007 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | ROBERT B. VANCONIA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5735828108 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM AUDRAIN HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1548520026 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group - Family Medicine | 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 |
| 1356712871 | Ssm Audrain Health Care, Inc. | Psychiatric Unit | 620 E Monroe St, Mexico, MO 65265-2919 | 2015-10-09 |
| 1336576008 | Ssm Audrain Health Care, Inc. | Obstetrics & Gynecology | 605 E Promenade St, Suite A, Mexico, MO 65265-2926 | 2013-09-26 |
| 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 |
221 N MAIN ST |
| City | PARIS |
| State | MO |
| Zip Code | 65275-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821331984 | Betty Marie Wilson | Nurse Practitioner | 221 N Main St, Paris, MO 65275-1328 | 2013-03-27 |
| 1992800635 | The Sutherland Clinic LLC | Family Medicine | 221 N Main St, Paris, MO 65275-1328 | 2006-09-14 |
| 1619945300 | Charles Sutherland | Family Medicine | 221 N Main St, Paris, MO 65275-1328 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047736 | Katelin Moore Worthington | Speech-Language Pathologist | Monroe Manor 200 Sout St, Paris, MO 65275 | 2018-06-20 |
| 1457778110 | Faithwalk Community Development Corporation | Counselor | 514 Fox St., Paris, MO 65275 | 2014-03-19 |
| 1649528373 | Eric Schumm | Physical Therapist | 200 S. Street, Paris, MO 65275 | 2012-08-28 |
| 1114069861 | Region Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 225 North Main, Paris, MO 65275 | 2007-02-12 |
| 1386749737 | Monroe County Health Department & Home Health Agency | Home Health | 310 N. Market St., Paris, MO 65275 | 2006-09-13 |
| 1861682171 | Monroe County Health Department & Home Health Agency | Home Health | 310 N. Market St., Paris, MO 65275 | 2007-08-01 |
| 1083042006 | Stephanie King | Physical Therapist | 200 South Street, Paris, MO 65275-0001 | 2013-10-30 |
| 1962867259 | Harold Long | Counselor | 514 Fox Street., Paris, MO 65275-0179 | 2015-12-31 |
| 1861510950 | Senior Citizens Community Center | Clinic/Center | 112 E Marion St, Paris, MO 65275-1041 | 2007-03-27 |
| 1043208051 | Mary J. Crawford | Family Medicine | 102 E Marion St, Paris, MO 65275-1041 | 2005-10-12 |
| Find all providers in zip 65275 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1861490054 | Essent Prmc Lp | Clinic/Center | 2224 Bonham St, Attn: Facility Ceo, Paris, TX 75460-3790 | 2005-07-12 |
| 1699383604 | Kids Clinic of Paris, LLC | Clinic/Center | 345 Stone Ave, Paris, TX 75460-9309 | 2020-07-15 |
| 1386116572 | Paris Lakes Health Group Inc | Clinic/Center | 2675 41st St Se Ste 102, Paris, TX 75462-8209 | 2018-12-28 |
| 1881106243 | Mercy Hospital Paris | Clinic/Center | 303 S 5th St, Paris, AR 72855-4501 | 2017-10-25 |
| 1548334956 | Hospital & Medical Foundation of Paris, Inc | Clinic/Center | 727 E Court St, Paris, IL 61944 | 2006-11-17 |
| 1477661262 | Health Texas Provider Network | Clinic/Center | 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 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.