SSM REGIONAL HEALTH SERVICES (NPI# 1053368159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053368159 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVICES |
| Other Organization Name | SSM HEALTH MEDICAL GROUP - BEHAVIORAL HEALTH |
| Practice Address |
2701 West Edgewood Suite 101 Jefferson City MO 65109 |
| Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
| Practice Telephone | 5736345303 |
| Practice Fax Number | 5737616888 |
| Mailing Telephone | 5736813767 |
| Mailing Fax Number | 5736813593 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | GARRICK ELLIOTT MUELLER (CFO) |
| Authorized Official Telephone | 4052807582 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM REGIONAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502680002 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group - Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1306280185 | Ssm Regional Health Services | Clinic/Center | 301 E Price Ave, Suite A, Savannah, MO 64485-2427 | 2013-04-23 |
| 1396886065 | Ssm Regional Health Services | Family Medicine | 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 | 2007-02-08 |
| 1427063072 | Ssm Regional Health Services | Pharmacy | 875 Hwy 5 South, Tipton, MO 65081-8253 | 2006-07-30 |
| 1518909373 | Ssm Regional Health Services | Family Medicine | 24 West 4th Street, Grant City, MO 64456-0043 | 2006-06-13 |
| 1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
| 1588601777 | Ssm Regional Health Services | Clinic/Center | 875 State Route 5, Tipton, MO 65081-8441 | 2006-05-31 |
| 1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
| 1043266034 | Ssm Regional Health Services | Clinic/Center | 801 Kidwell Dr, Versailles, MO 65084-1783 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SSM REGIONAL HEALTH SERVICES | 10101 Woodfield Lane, St. Louis, MO 63132 |
| Street Address |
2701 WEST EDGEWOOD SUITE 101 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588431 | Still Waters Counseling Services | Clinic/Center | 1408 George Ave, Jefferson City, TN 37760-2510 | 2018-11-28 |
| 1508303538 | Health Remedies Wellness Counseling, LLC | Clinic/Center | 3401 W Truman Blvd, 204, Jefferson City, MO 65109-5752 | 2017-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1912511379 | Community Connect LLC | Clinic/Center | 3080 Churchill Dr, Florissant, MO 63033-1116 | 2020-09-03 |
| 1447864848 | Valiant Therapeutic Services | Clinic/Center | 4444 N Belleview Ave Ste 100, Kansas City, MO 64116-1507 | 2020-09-02 |
| 1598377673 | Ubuntu Counseling LLC | Clinic/Center | 8400 Atherton Dr Apt 2s, Saint Louis, MO 63130-1001 | 2020-08-19 |
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1679102230 | Renew Counseling LLC | Clinic/Center | 312 W Washington St, Kirksville, MO 63501-2876 | 2020-04-06 |
| 1891329322 | Individual Marriage and Family Enrichment LLC | Clinic/Center | 601 W Nifong Blvd Ste 1e, Columbia, MO 65203-6804 | 2020-02-24 |
| 1861024754 | Chrysalis Wellness LLC | Clinic/Center | 3863 S Campbell Ave Ste A, Springfield, MO 65807-5339 | 2020-02-07 |
| 1275178451 | Awaken360, Inc. | Clinic/Center | 829 W Atlantic St, Springfield, MO 65803-1517 | 2019-11-12 |
| 1053953422 | Kirwood Medication Assisted Treatments | Clinic/Center | 111 Prospect Ave Ste 201, Kirkwood, MO 63122-6052 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on SSM REGIONAL HEALTH SERVICES.
| 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.