Organization
SSM REGIONAL HEALTH SERVICES
Active
Parent organization
SSM REGIONAL HEALTH SERVICES
Other names
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 STE 130, JEFFERSON CITY, MO 65109-9508
(573) 681-3585
(573) 681-3665
Mailing address
7655 SOLUTIONS CTR, CHICAGO, IL 60677-7006
(557) 203-1551
(314) 989-6721
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/10/2017
Last updated
12/16/2025
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