Organization · Type 2 NPI

SSM Regional Health Servcies

Urgent Care Clinic/Center · Lake Ozark, MO

NPI number 1316993256 Active

Practice location

2265 Bagnell Dam Blvd, Ste 103
Lake Ozark, MO 65049-8603

Call (573) 365-6800 Map

Fax (573) 365-6011

Mailing address

PO Box 1027
Jefferson City, MO 65102-1027

Specialties and licenses

Taxonomy	Code	License
Urgent Care Clinic/Center Primary	261QU0200X	None listed

Urgent Care Clinic/Center: Definition to come...

2 other providers at this address

Kathleen M. Robbins, MDFamily Medicine Physician Lake Ozark, MO NPI 1255336418
Stephen Paul Stewart, MDFamily Medicine Physician Lake Ozark, MO NPI 1013152461

NPI record

NPI: 1316993256
Entity type: Organization (Type 2)
Issued: May 25, 2006
Last updated: Oct 28, 2008
Status: Active
Subpart: Yes of SSM Regional Health Services

Other names

<unavail>
St. Marys Urgent Care at the Lake · doing business as

Authorized official

Brent Van Conia
President
(573) 761-7000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316993256

SSM Regional Health Servcies's National Provider Identifier is 1316993256, issued on May 25, 2006. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Lake Ozark, MO. The record was last updated on Oct 28, 2008.