# SSM REGIONAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM REGIONAL HEALTH SERVICES
- **Other names:** SSM Health Medical Group- Cardiothoracic Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649217837
- **Legal business name:** SSM REGIONAL HEALTH SERVICES
- **Authorized official:** SHASTA RENE MANUEL (REGIONAL VICE PRESIDENT FINANCE/CFO)
- **Authorized official phone:** (405) 272-7282

## Contact information

- **Practice address:** 2505 MISSION DR, SUITE 310, JEFFERSON CITY, MO 65109-9508
- **Practice address phone:** (573) 681-3751
- **Practice address fax:** (573) 681-3624
- **Mailing address:** 7655 SOLUTIONS CTR, CHICAGO, IL 60677-7006
- **Mailing address phone:** (557) 203-1551
- **Mailing address fax:** (314) 989-6721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 12/16/2025