Organization
SSM REGIONAL HEALTH SERVICES
Active
Parent organization
SSM REGIONAL HEALTH SERVICES
Other names
St. Marys Westphalia Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM REGIONAL HEALTH SERVICES
Authorized official
BRENT VAN CONIA (PRESIDENT)
(573) 761-7000
Entity
Organization
Contact information
Practice address
1875 HIGHWAY 63, WESTPHALIA, MO 65085-2215
(573) 455-9838
(573) 455-2208
Mailing address
PO BOX 1027, JEFFERSON CITY, MO 65102-1027
(573) 761-7246
(573) 761-6947
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
07/28/2007
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