Ssm Health Medical Group - Family Medicine

LBN: Ssm Regional Health Services
Ssm Health Medical Group - Family Medicine is an health care organization with primary practice located at 2511 W Edgewood Dr Ste G , Jefferson City MO 65109-5869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ssm Regional Health Services can be contacted via phone (573) 761-0458, or through Mueller, Garrick Elliott via phone (405) 280-7582.

Contact Information

Primary practice address
2511 W Edgewood Dr Ste G Jefferson City MO 65109-5869
Phone: (573) 761-0458
Fax: (573) 634-3137
Website:
Map and Directions
Authorized official contact:
Name: Mueller, Garrick Elliott
Phone: (405) 280-7582

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1396886065
LBN Legal business name Ssm Regional Health Services
DBA Doing business as Ssm Health Medical Group - Family Medicine
Authorized official Mueller, Garrick Elliott
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Sep 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396886065 NPPES
Missouri MEDICAID 507008803

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