Ssm Regional Health Services

NPI #1053368159 in Jefferson City, Missouri

Provider Information

NPI Number
1053368159
Entity Type
Organization
Organization Name
Ssm Regional Health Services
Subpart
Yes (part of a larger organization)
Parent Organization
SSM REGIONAL HEALTH SERVICES
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
May 27, 2006
Last Updated
Dec 16, 2025

Practice Location

Address
2701 WEST EDGEWOOD
Address 2
SUITE 101
ZIP Code
65109
Phone
(573) 634-5303

Authorized Official

Name
SHASTA RENE MANUEL
Title
REGIONAL VICE PRESIDENT FINANCE/CFO
Phone
(405) 272-7282

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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