# SSM AUDRAIN HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM AUDRAIN HEALTH CARE, INC.
- **Other names:** Audrain Family Health Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477563625
- **Legal business name:** SSM AUDRAIN HEALTH CARE, INC.
- **Authorized official:** MR. DAVID A. NEUENDORF (PRESIDENT/CEO)
- **Authorized official phone:** (573) 582-8108

## Contact information

- **Practice address:** 625 E SUMMIT ST, MEXICO, MO 65265-3294
- **Practice address phone:** (573) 473-3831
- **Practice address fax:** (573) 473-3706
- **Mailing address:** 625 E SUMMIT ST, MEXICO, MO 65265-3294
- **Mailing address phone:** (573) 473-3831
- **Mailing address fax:** (573) 473-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/08/2015