SSM REGIONAL HEALTH SERVICES (NPI# 1518909373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518909373 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVICES |
| Other Organization Name | ST. FRANCIS GRANT CITY MEDICAL CLINIC |
| Practice Address |
24 West 4th Street Grant City MO 64456-0043 |
| Mailing Address |
114 E South Hills Dr Maryville MO 64468-2659 |
| Practice Telephone | 6605643582 |
| Practice Fax Number | 6605643583 |
| Mailing Telephone | 6605622525 |
| Mailing Fax Number | 6605604303 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | HAROLD GRAY COX (PRESIDENT) |
| Authorized Official Telephone | 6605622600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0984492 | 05 | |
| MO | 501133102 | 05 |
| Other Name | Type Code |
|---|---|
| St. Francis Grant City Medical Clinic | 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 |
| 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 |
| 1053368159 | Ssm Regional Health Services | Clinic/Center | 2701 West Edgewood, Suite 101, Jefferson City, MO 65109 | 2006-05-27 |
| 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 |
24 WEST 4TH STREET |
| City | GRANT CITY |
| State | MO |
| Zip Code | 64456-0043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053452623 | Northwest Medical Center Association, Inc | Clinic/Center | 16 W. 4th St., Grant City, MO 64456 | 2007-02-08 |
| 1053415265 | Worth County Ambulance Service | Ambulance | 503 East 4th Street, Grant City, MO 64456 | 2006-09-08 |
| 1730101320 | Brian D Vierthaler | Dentist | 402 South Main, Grant City, MO 64456 | 2006-07-24 |
| 1952340317 | Allison R. Thorn | Family Medicine | 16 W. 4th St., Grant City, MO 64456 | 2006-06-04 |
| 1750800272 | Kimberly Marie Allen | Nurse Practitioner | 400 Meade Street, Grant City, MO 64456-6445 | 2017-09-15 |
| 1316403157 | Northwest Health Services Inc | Clinic/Center | 510 East Ave, Grant City, MO 64456-8312 | 2019-02-18 |
| 1487988937 | Sherris Pharmacy Service | Durable Medical Equipment & Medical Supplies | 108 S Main St, Grant City, MO 64456-8321 | 2009-09-30 |
| 1306035506 | Laura Ann Mueller | General Practice | Rr 4 Box 52a, Grant City, MO 64456-8617 | 2007-10-24 |
| 1154478923 | Worth County Riii School District | Speech-Language Pathologist | Rr 3 Box 107, Grant City, MO 64456-8833 | 2007-01-04 |
| 1598868853 | Worth County Nursing Home District | Skilled Nursing Facility | 503 E 4th St., Grant City, MO 64456-8863 | 2006-09-05 |
| Find all providers in zip 64456 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | GRANT CITY |
| Zip Code | 64456 |
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.