Organization
SSM AUDRAIN HEALTH CARE, INC
Active
Other names
SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A NEUENDORF (PRESIDENT CEO)
(573) 582-5000
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
(573) 582-3723
Mailing address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
(573) 582-3723
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36-50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-50
STATE LICENSE
MO
01
—
483
BLUE CROSS
MO
05
—
540328101
—
MO
Enumeration date
02/16/2007
Last updated
12/09/2014
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