# SSM AUDRAIN HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1548520026
- **Legal business name:** SSM AUDRAIN HEALTH CARE, INC.
- **Authorized official:** ROBERT B. VANCONIA (PRESIDENT/CEO)
- **Authorized official phone:** (573) 582-8108

## Contact information

- **Practice address:** 221 N MAIN ST, PARIS, MO 65275-1328
- **Practice address phone:** (660) 327-4000
- **Practice address fax:** (660) 327-4007
- **Mailing address:** 221 N MAIN ST, PARIS, MO 65275-1328
- **Mailing address phone:** (660) 327-4000
- **Mailing address fax:** (660) 327-4007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2012
- **Last updated:** 05/08/2015