Organization · Type 2 NPI

SSM Regional Health Services

Clinic/Center · Jefferson City, MO

NPI number 1649217837 Active

Practice location

2505 Mission Dr, Suite 310
Jefferson City, MO 65109-9508

Call (573) 681-3751 Map

Fax (573) 681-3624

Mailing address

7655 Solutions Ctr
Chicago, IL 60677-7006

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

38 other providers at this address

Other clinic/center providers in Jefferson City

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NPI record

NPI: 1649217837
Entity type: Organization (Type 2)
Issued: May 31, 2006
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of SSM Regional Health Services

Other names

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SSM Health Medical Group- Cardiothoracic Surgery · doing business as

Authorized official

Shasta Rene Manuel
Regional Vice President Finance/cfo
(405) 272-7282

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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 1649217837

SSM Regional Health Services's National Provider Identifier is 1649217837, issued on May 31, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 16, 2025.