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SSM REGIONAL HEALTH SERVICES NPI 1679510861


NPI Information

NPI: 1679510861
Provider Name: SSM REGIONAL HEALTH SERVICES

Doing Business As: CENTER FOR PLASTICS & RESTORATIVE SURGERY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
200 SAINT MARYS PLZ
SUITE 201
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 632-4325
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SSM REGIONAL HEALTH SERVICES is a clinic center in Jefferson City, MO. The provider is 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). SSM REGIONAL HEALTH SERVICES NPI is 1679510861. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Plastics & Restorative Surgery.

The provider's business location address is:

200 SAINT MARYS PLZ
SUITE 201
JEFFERSON CITY, MO
ZIP 65101-604
Phone: (573) 632-4325
Fax: (573) 659-2503

The provider's authorized official is Brent Van Conia .
The authorized official title is President and has the following contact phone number (573) 761-7000.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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