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SSM REGIONAL HEALTH SERVICES NPI 1043450711


NPI Information

NPI: 1043450711
Provider Name: SSM REGIONAL HEALTH SERVICES

Doing Business As: SSM HEALTH WOUND CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2505 MISSION DR
SUITE 210
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 681-3000
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SSM REGIONAL HEALTH SERVICES is a general practice in Jefferson City, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SSM REGIONAL HEALTH SERVICES NPI is 1043450711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Wound Center.

The provider's business location address is:

2505 MISSION DR
SUITE 210
JEFFERSON CITY, MO
ZIP 65109-508
Phone: (573) 681-3000
Fax: (573) 659-2503

The provider's authorized official is Garrick Elliott Mueller .
The authorized official title is Cfo and has the following contact phone number (405) 280-7582.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 9/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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: 4/28/2024

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