SSM AUDRAIN HEALTH CARE, INC (NPI# 1750763348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763348 |
| Entity Type | Organization |
| Organization Name | SSM AUDRAIN HEALTH CARE, INC |
| Other Organization Name | SSM HEALTH MEDICAL GROUP |
| Practice Address |
350 Country Meadow Ln Fulton MO 65251 |
| Mailing Address |
350 Country Meadows Drive Fulton MO 65251 |
| Practice Telephone | 5735818127 |
| Enumeration Date | 2015-06-19 |
| 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 |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | MO | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SSM HEALTH MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518340306 | Ssm Audrain Health Care, Inc | Clinic/Center | 3626 S Clark St, Mexico, MO 65265-4104 | 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 |
350 COUNTRY MEADOW LN |
| City | FULTON |
| State | MO |
| Zip Code | 65251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| 1053579094 | Salwat Shami | Internal Medicine | 850 W Hospital Drive, Ste D, Fulton, MO 65251 | 2008-05-27 |
| Find all providers in zip 65251 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1689287955 | Noble Health Fulton Inc. | Clinic/Center | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1437623337 | Pinelake Physician Practice, LLC | Clinic/Center | 101 Main St, Fulton, KY 42041-1601 | 2019-01-14 |
| 1841600095 | Fulton Medical Center LLC | Clinic/Center | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-04-28 |
| 1841510799 | Huey R Kidd Do PC | Clinic/Center | 218 Main Street, Fulton, AL 36446 | 2010-06-02 |
| 1922100122 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-09-01 |
| 1295778314 | Healthmont of Missouri LLC | Clinic/Center | 850 W Hospital Dr, Suite F, Fulton, MO 65251 | 2006-06-14 |
| 1902874910 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-03-08 |
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|---|---|---|---|---|
| 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.