SSM REGIONAL HEALTH SERVICES NPI 1588601777

NPI Information

NPI: 1588601777
Provider Name: SSM REGIONAL HEALTH SERVICES

Doing Business As: SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
875 STATE ROUTE 5
TIPTON, MO
ZIP 65081
Phone: (660) 433-5541
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SSM REGIONAL HEALTH SERVICES is a rural health clinic center in Tipton, MO. SSM REGIONAL HEALTH SERVICES NPI is 1588601777. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Medical Group - Family Medicine.

The provider's business location address is:

875 STATE ROUTE 5
TIPTON, MO
ZIP 65081-441
Phone: (660) 433-5541
Fax: (660) 433-5717

The provider's authorized official is James T Stratton .
The authorized official title is Cfo and has the following contact phone number (573) 681-3129.

The CLIA number assigned to this NPI record is 26D0703269 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/31/2006 and was last updated on 5/25/2022.

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
1	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	503469108	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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