SSM REGIONAL HEALTH SERVICES


Address: 140 Northstar Dr, Holts Summit, MO 65043-1123
Phone: 5738968301

SSM REGIONAL HEALTH SERVICES (NPI# 1952357352) 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) 1952357352
Entity Type Organization
Organization Name SSM REGIONAL HEALTH SERVICES
Other Organization Name SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE
Practice Address 140 Northstar Dr
Holts Summit
MO 65043-1123
Mailing Address Po Box 1027
Jefferson City
MO 65102-1027
Practice Telephone 5738968301
Practice Fax Number 5738968589
Mailing Telephone 5737681376
Mailing Fax Number 5737616947
Enumeration Date 2006-05-26
Last Update Date 2020-09-15
Authorized Official Name GARRICK ELLIOTT MUELLER (CFO)
Authorized Official Telephone 4052807582
Is Organization Subpart Y
Parent Organization Name SSM REGIONAL HEALTH SERVICES

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 502624307 05

Other Provider/Organization Names

Other Name Type Code
SSM Health Medical Group - Family Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669856829 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 2015-07-16
1679961577 Ssm Regional Health Services Clinic/Center 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 2014-12-30
1306280185 Ssm Regional Health Services Clinic/Center 301 E Price Ave, Suite A, Savannah, MO 64485-2427 2013-04-23
1396886065 Ssm Regional Health Services Family Medicine 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 2007-02-08
1427063072 Ssm Regional Health Services Pharmacy 875 Hwy 5 South, Tipton, MO 65081-8253 2006-07-30
1518909373 Ssm Regional Health Services Family Medicine 24 West 4th Street, Grant City, MO 64456-0043 2006-06-13
1396782587 Ssm Regional Health Services Clinic/Center 3348 American Ave, Jefferson City, MO 65109-1079 2006-05-31
1588601777 Ssm Regional Health Services Clinic/Center 875 State Route 5, Tipton, MO 65081-8441 2006-05-31
1053368159 Ssm Regional Health Services Clinic/Center 2701 West Edgewood, Suite 101, Jefferson City, MO 65109 2006-05-27
1043266034 Ssm Regional Health Services Clinic/Center 801 Kidwell Dr, Versailles, MO 65084-1783 2006-05-25

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities SSM REGIONAL HEALTH SERVICES 10101 Woodfield Lane, St. Louis, MO 63132

Office Location

Street Address 140 NORTHSTAR DR
City HOLTS SUMMIT
State MO
Zip Code 65043-1123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285117622 Linda Faye Cook Pharmacy 140 Northstar Dr, Holts Summit, MO 65043-1123 2018-09-12
1235151440 Curtis W Dyer Family Medicine 140 Northstar Dr, Holts Summit, MO 65043-1123 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285863340 Walter A Henderson Jr. Dentist 320 S. Summit Dr., Holts Summit, MO 65043 2009-07-10
1356452155 St Marys Holts Summit Phar Pharmacy 140 Northstar, Holts Summit, MO 65043 2006-08-31
1881666865 James R Ennis General Practice 180 Northstar, Holts Summit, MO 65043 2006-02-03
1033170006 Lorrie L Campbell Family Medicine 180 Northstar Dr, Holts Summit, MO 65043-1123 2006-03-30
1710959598 Capital Region Medical Center Family Medicine 180 Northstar St, Holts Summit, MO 65043-1123 2006-02-06
1841552700 Morgan John Schiermeier Family Medicine 180 Northstar Dr, Holts Summit, MO 65043-1123 2012-06-15
1811310469 Lindsey Diane Holt Occupational Therapist 93 S Larand Dr, Holts Summit, MO 65043-1132 2014-01-31
1518367150 Abby Zanaboni Speech-Language Pathologist 2715 State Road Aa, Holts Summit, MO 65043-1241 2014-09-02
1972823896 Laurie Ann Werdehausen Registered Nurse 11179 County Road 391, Holts Summit, MO 65043-1304 2010-06-02
1326608308 Jennifer Anne Kirk Social Worker 180 Rylee Cir Unit A, Holts Summit, MO 65043-1385 2019-06-20
Find all providers in zip 65043

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 state

NPI Name Taxonomy Address Enumeration
1982219945 Behavior Dad, LLC Clinic/Center 3509 W Moark, Battlefield, MO 65619-9616 2020-09-15
1801406178 Primary Care of Cedar Hill Harmony Clinic/Center 6420 The Cedars Ct Ste 1, Cedar Hill, MO 63016-2222 2020-08-03
1598373359 Ozarks Medical Center Clinic/Center Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 2020-07-17
1447873914 2 for Him, LLC Clinic/Center 310 Route 66 E, Waynesville, MO 65583-2648 2020-05-19
1780204586 Keep Well Now Clinic/Center 2405 Aspen Rd, Highlandville, MO 65669-8051 2020-04-21
1871112102 Thrive St. Louis, Inc Clinic/Center 4331 Lindell Blvd, Saint Louis, MO 63108-2701 2020-04-16
1548893530 Gateway Direct Primary Care Jv LLC Clinic/Center 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 2020-02-18
1033741202 Olalani Holdings LLC Clinic/Center 950 Francis Pl Ste 217, Clayton, MO 63105-2465 2020-02-06
1124659180 Eldon Family Chiropractic, LLC Clinic/Center 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 2020-01-29
1619518032 Mcpherson Medical & Diagnostic, LLC Clinic/Center 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 2019-10-07
Find all providers with the same taxonomy

Competitor

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City HOLTS SUMMIT
Zip Code 65043

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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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