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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 502624307 | 05 |
Other Name | Type Code |
---|---|
SSM Health Medical Group - Family Medicine | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | SSM REGIONAL HEALTH SERVICES | 10101 Woodfield Lane, St. Louis, MO 63132 |
Street Address |
140 NORTHSTAR DR |
City | HOLTS SUMMIT |
State | MO |
Zip Code | 65043-1123 |
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 |
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 Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
City | HOLTS SUMMIT |
Zip Code | 65043 |
Please comment or provide details below to improve the information on SSM REGIONAL HEALTH SERVICES.
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.