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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