Organization
SSM REGIONAL HEALTH SERVICES
Active
Parent organization
SSM REGIONAL HEALTH SERVICES
Other names
SSM Health Spine & Pain Management Center, SSM Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM REGIONAL HEALTH SERVICES
Authorized official
SHASTA RENE MANUEL (REGIONAL VICE PRESIDENT FINANCE/CFO)
(405) 272-7282
Entity
Organization
Contact information
Practice address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 636-9000
Mailing address
7655 SOLUTIONS CTR, CHICAGO, IL 60677-7006
(557) 203-1551
(314) 989-6721
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
12/16/2025
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