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Contact Information

SSM REGIONAL HEALTH SERVICES
1241 W STADIUM BLVD
JEFFERSON CITY, MO65109-6023
 Phone: 573-556-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology, Radiation

261QX0203X
Indicates primary specialty

NPI Profile & details for SSM REGIONAL HEALTH SERVICES

NPI Number 1639508146
LBN Legal business name SSM REGIONAL HEALTH SERVICES
Authorized official SHASTA MANUEL - (REGIONAL VICE PRESIDENT FINANCE/CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/05/2013
Last updated 12/16/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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