Organization · Type 2 NPI

SSM Regional Health Services

Specialist · Jefferson City, MO

NPI number 1922488931 Active

Practice location

2505 Mission Dr
Jefferson City, MO 65109-9508

Call (573) 681-3767 Map

Fax (573) 761-6947

Mailing address

7655 Solutions Ctr
Chicago, IL 60677-7006

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

38 other providers at this address

Other specialist providers in Jefferson City

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NPI record

NPI: 1922488931
Entity type: Organization (Type 2)
Issued: Jun 4, 2015
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of SSM Regional Health Services

Other names

<unavail>
SSM Health Medical Group · doing business as
SSM Health Medical Group · 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 1922488931

SSM Regional Health Services's National Provider Identifier is 1922488931, issued on Jun 4, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 16, 2025.