Ssm Regional Health Services

NPI #1619923240 in Jefferson City, Missouri

Provider Information

NPI Number: 1619923240
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 - Oncology
Enumeration Date: May 25, 2006
Last Updated: Jul 28, 2007

Practice Location

Address: 200 SAINT MARYS PLZ
Address 2: STE 202
City: Jefferson City
State: Missouri
ZIP Code: 65101-1604
Phone: (573) 761-0457

Authorized Official

Name: BRENT VAN CONIA
Title: PRESIDENT
Phone: (573) 761-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oncology — Oncology	261QX0200X	Primary

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