NPI 1043450711

SSM Regional Health Services

Organisation General Practice Physician Jefferson City, MO

Practice location

Address: 2505 Mission Dr Suite 210, Jefferson City, MO 65109-9508
Phone: (573) 681-3000
Fax: (573) 659-2503
Mailing address: 7655 Solutions Ctr, Chicago, IL 60677-7006

Authorised official

Name: Shasta Rene Manuel
Title: Regional Vice President Finance/Cfo
Phone: (405) 272-7282

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Missouri →

Registry record

NPI: 1043450711
Entity type: Organization
NPI issued: 20 Feb 2009
Record last updated: 16 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.