SSM REGIONAL HEALTH SERVCIES (NPI# 1316993256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316993256 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVCIES |
| Other Organization Name | ST. MARYS URGENT CARE AT THE LAKE |
| Practice Address |
2265 Bagnell Dam Blvd Ste 103 Lake Ozark MO 65049-8603 |
| Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
| Practice Telephone | 5733656800 |
| Practice Fax Number | 5733656011 |
| Mailing Telephone | 5737617246 |
| Mailing Fax Number | 5737616947 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | BRENT VAN CONIA (PRESIDENT) |
| Authorized Official Telephone | 5737617000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM REGIONAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507349108 | 05 |
| Other Name | Type Code |
|---|---|
| St. Marys Urgent Care at the Lake | Doing Business As Name - Organization |
| Street Address |
2265 BAGNELL DAM BLVD STE 103 |
| City | LAKE OZARK |
| State | MO |
| Zip Code | 65049-8603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336418 | Kathleen M Robbins | Family Medicine | 2265 Bagnell Dam Blvd, Ste 103, Lake Ozark, MO 65049-8603 | 2005-06-15 |
| 1124632492 | Wellness Institute LLC | Counselor | 2265 Bagnell Dam Blvd, Lake Ozark, MO 65049-8603 | 2020-09-03 |
| 1013152461 | Stephen Paul Stewart | Family Medicine | 2265 Bagnell Dam Blvd, Siute 103, Lake Ozark, MO 65049-8603 | 2008-12-12 |
| 1992891535 | Steven D Martin | Emergency Medicine | 2265 Bagnell Dam Blvd, Ste 103, Lake Ozark, MO 65049-8603 | 2006-10-04 |
| 1093757221 | Richard Kimball | Family Medicine | 2265 Bagnell Dam Blvd, Ste 103, Lake Ozark, MO 65049 | 2006-06-12 |
| 1558308742 | Ssm Regional Health Services | Clinic/Center | 2265 Bagnell Dam Blvd, Ste 103, Lake Ozark, MO 65049-8603 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099725 | Embark By Calo | Counselor | 110 Crossing Drive Suite 1, Lake Ozark, MO 65049 | 2017-08-21 |
| 1184006843 | Whitney Lodge | Pharmacist | 1870-c Bagnell Blvd, Lake Ozark, MO 65049 | 2015-06-18 |
| 1083907869 | Darin Thomas Puppel | Massage Therapist | 121 Crossings W, Ste F, Lake Ozark, MO 65049 | 2011-05-26 |
| 1407011851 | The Lime In The Coconut Specialty Compounding Pharmacy, LLC | Pharmacy | 121 Crossings West, # F, Lake Ozark, MO 65049 | 2008-07-25 |
| 1821270620 | Barnes Medical Clinic PC | Clinic/Center | 121 Crossings West Drive, #5, Lake Ozark, MO 65049 | 2007-12-04 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1891825592 | Karen L. Jenkins | Speech-Language Pathologist | 1571 Bagnell Dam Blvd., Box 1960, Lake Ozark, MO 65049 | 2007-03-06 |
| 1689741035 | Morrow Chiropractic Clinic PC | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2006-11-29 |
| 1891802443 | Lake Regional Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 1870-c Bagnell Dam Blvd, Lake Ozark, MO 65049 | 2006-08-23 |
| 1033659545 | Marshal Morrow | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2017-03-02 |
| Find all providers in zip 65049 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1699330324 | Urgent Care of Missouri | Clinic/Center | 1721 La Questa Dr Ste 5, Neosho, MO 64850-9000 | 2019-05-08 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OZARK |
| Zip Code | 65049 |
Please comment or provide details below to improve the information on SSM REGIONAL HEALTH SERVCIES.
| 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.