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Organization
SSM REGIONAL HEALTH SERVICES
Active
Organization
SSM REGIONAL HEALTH SERVICES
Active
Other names
St, Mary's Health Center BHM
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT VANCONIA (PRESIDENT)
(573) 761-7153
Entity
Organization
Contact information
Practice address
100 SAINT MARYS PLZ, JEFFERSON CITY, MO 65101-1602
(573) 761-7000
Mailing address
100 ST. MARYS MEDICAL PLAZA, JEFFERSON CITY, MO 65101
(573) 761-7000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
11/27/2023
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