SSM AUDRAIN HEALTH CARE, INC (NPI# 1952390122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952390122 |
| Entity Type | Organization |
| Organization Name | SSM AUDRAIN HEALTH CARE, INC |
| Other Organization Name | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| Practice Address |
620 E Monroe St Mexico MO 65265-2919 |
| Practice Telephone | 5735825000 |
| Practice Fax Number | 5735823723 |
| Mailing Telephone | 5735825000 |
| Mailing Fax Number | 5735823723 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | MR. DAVID A NEUENDORF (PRESIDENT CEO) |
| Authorized Official Telephone | 5735825000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 36-50 | MO | Hospitals |
| Other Name | Type Code |
|---|---|
| SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 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 |
| Street Address |
620 E MONROE ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659140 | Medical Imaging Associates of Mexico Mo | Radiology | 620 E Monroe St, Mexico, MO 65265-2919 | 2005-06-17 |
| 1053826727 | Ssm Audrain Health Care, Inc | Clinic/Center | 620 E Monroe St, Mexico, MO 65265-2919 | 2017-12-04 |
| 1225553621 | Zahir Abbas Sheth | Pharmacist | 620 E Monroe St, Mexico, MO 65265-2919 | 2017-08-07 |
| 1457712903 | Ssm Audrain Health Care, Inc | Psychiatry & Neurology | 620 E Monroe St, Mexico, MO 65265-2919 | 2016-03-11 |
| 1356712871 | Ssm Audrain Health Care, Inc. | Psychiatric Unit | 620 E Monroe St, Mexico, MO 65265-2919 | 2015-10-09 |
| 1457743148 | Audrain Physician Services LLC | Physician Assistant | 620 E Monroe St, Mexico, MO 65265-2919 | 2015-03-04 |
| 1407287378 | Michelle Hoeing | Dietitian, Registered | 620 E Monroe St, Mexico, MO 65265-2919 | 2013-12-03 |
| 1164706917 | Krystle Leigh Blunk | Dietitian, Registered | 620 E Monroe St, Mexico, MO 65265-2919 | 2011-09-28 |
| 1326334459 | Osamede Edokpolo | Psychiatry & Neurology | 620 E Monroe St, Mexico, MO 65265-2919 | 2011-06-27 |
| 1487987731 | Audrain Ambulance District | Ambulance | 620 E Monroe St, Mexico, MO 65265-2919 | 2009-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841334836 | Ssm Audrain Health Care, Inc | General Acute Care Hospital | 620 E Monroe St, Mexico, MO 65265-2919 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
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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.