Organization · Type 2 NPI

SSM Regional Health Services

Clinic/Center · Holts Summit, MO

NPI number 1952357352 Active

Practice location

140 Northstar Dr
Holts Summit, MO 65043-1123

Call (573) 896-8301 Map

Fax (573) 896-8589

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).

8 other providers at this address

NPI record

NPI: 1952357352
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of SSM Regional Health Services

Other names

<unavail>
SSM Health Medical Group - Family Medicine · doing business as
SSM Health Medical Group - Family Medicine · 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 1952357352

SSM Regional Health Services's National Provider Identifier is 1952357352, issued on May 26, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Holts Summit, MO. The record was last updated on Dec 16, 2025.