Ssm Health Medical Group - Pediatrics

LBN: Ssm Regional Health Services
Ssm Health Medical Group - Pediatrics is an health care organization with primary practice located at 3348 American Ave , Jefferson City MO 65109-1079. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ssm Regional Health Services can be contacted via phone (573) 761-7210, or through Mueller, Garrick Elliott via phone (405) 280-7582.

Contact Information

Primary practice address
3348 American Ave Jefferson City MO 65109-1079
Phone: (573) 761-7210
Fax: (573) 634-8802
Website:
Map and Directions
Authorized official contact:
Name: Mueller, Garrick Elliott
Phone: (405) 280-7582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1396782587
LBN Legal business name Ssm Regional Health Services
DBA Doing business as Ssm Health Medical Group - Pediatrics
Authorized official Mueller, Garrick Elliott
Entity Organization
Organization subpart 1 Yes
Enumeration date May 31st, 2006
Last updated Sep 15th, 2020 - about 6 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 1396782587 NPPES
Missouri MEDICAID 501283501

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