SSM REGIONAL HEALTH SERVICES NPI 1669856829

NPI Information

  • NPI: 1669856829
  • Provider Name: SSM REGIONAL HEALTH SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 26D0972912
  • Address: 2511 W EDGEWOOD DR STE F
    JEFFERSON CITY, MO
    ZIP 65109
  • Phone: (573) 761-7979

Map and Directions

Get Directions

NPI Details

SSM REGIONAL HEALTH SERVICES is a family medicine in Jefferson City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SSM REGIONAL HEALTH SERVICES NPI is 1669856829. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2511 W EDGEWOOD DR STE F
JEFFERSON CITY, MO
ZIP 65109-869
Phone: (573) 761-7979
Fax: (573) 761-0445

The provider's authorized official is Shasta Rene Manuel .
The authorized official title is Regional Vice President Finance/cfo and has the following contact phone number (405) 272-7282.

The CLIA number assigned to this NPI record is 26D0972912 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 5/13/2025.

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
1261QR1300XClinic/CenterRural HealthNo
2207Q00000XFamily MedicineMISSOURIYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI