SSM REGIONAL HEALTH SERVICES (NPI# 1588601777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588601777 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVICES |
| Other Organization Name | SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE |
| Practice Address |
875 State Route 5 Tipton MO 65081-8441 |
| Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
| Practice Telephone | 6604335541 |
| Practice Fax Number | 6604335717 |
| Mailing Telephone | 5736813767 |
| Mailing Fax Number | 5737616947 |
| Enumeration Date | 2006-05-31 |
| 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 |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503469108 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group - Family Medicine | 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 |
| 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 |
875 STATE ROUTE 5 |
| City | TIPTON |
| State | MO |
| Zip Code | 65081-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760749428 | Christopher Aaron Paynter | Family Medicine | 875 State Route 5, Tipton, MO 65081-8441 | 2012-04-19 |
| 1326086752 | Christine M Hurt | Nurse Practitioner | 875 State Route 5, Tipton, MO 65081-8441 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326105248 | Ronald Lamar Shuler | Dentist | 303 South Osage St, Tipton, MO 65081 | 2007-01-02 |
| 1871077297 | Lianne Twyman | Pharmacist | 875 Hwy 5 South, Tipton, MO 65081 | 2018-09-21 |
| 1306051255 | Ralph Marion Stonner | Dentist | 849 Countryside Ln., Tipton, MO 65081-0238 | 2007-05-14 |
| 1952795692 | Donna June Bell | Nurse Practitioner | 806 S Fork Ln, Tipton, MO 65081-4005 | 2015-03-19 |
| 1538155742 | N & R of Tipton, LLC | Skilled Nursing Facility | 601 W Morgan St, Tipton, MO 65081-8214 | 2005-09-22 |
| 1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
| 1427063072 | Ssm Regional Health Services | Pharmacy | 875 Hwy 5 South, Tipton, MO 65081-8253 | 2006-07-30 |
| 1124235866 | Mid-mo Ambulance District | Ambulance | 221 S Moreau Ave, Tipton, MO 65081-8257 | 2007-05-16 |
| 1265563126 | Janet Marie Miller | Speech-Language Pathologist | 727 Saddler Dr, Tipton, MO 65081-8292 | 2007-03-09 |
| 1326254285 | Bristol Care, Inc. | Assisted Living Facility | 908 Park Ave, Tipton, MO 65081-8408 | 2007-05-15 |
| Find all providers in zip 65081 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528072527 | Tipton Medical Clinic | Clinic/Center | 575 North Thompson Drive, Tipton, CA 93272 | 2006-07-28 |
| 1548205941 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1412 Cedar St, Tipton, IA 52772-1100 | 2006-06-19 |
| 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 | ||||
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| 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.