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1588601777 NPI number — SSM REGIONAL HEALTH SERVICES

NPI Number: 1588601777
Health Care Provider/Practitioner: SSM REGIONAL HEALTH SERVICES

Information about “1588601777” NPI (SSM REGIONAL HEALTH SERVICES) exists in 1588601777 in HTML format HTML  |  1588601777 in plain Text format TXT  |  1588601777 in PDF (Portable Document Format) PDF  |  1588601777 in an XML format XML  formats.

NPI Number : 1588601777 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588601777",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SSM REGIONAL HEALTH SERVICES",
    "ParentOrgTIN": null,
    "OrgName": "SSM REGIONAL HEALTH SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1027",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEFFERSON CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65102-1027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-681-3767",
    "MailingAddressFaxNumber": "573-761-6947",
    "FirstLinePracticeLocationAddress": "875 STATE ROUTE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TIPTON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65081-8441",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "660-433-5541",
    "PracticeLocationAddressFaxNumber": "660-433-5717",
    "EnumerationDate": "05/31/2006",
    "LastUpdateDate": "05/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANUEL",
    "AuthorizedOfficialFirstName": "SHASTA",
    "AuthorizedOfficialMiddleName": "RENE",
    "AuthorizedOfficialTitle": "REGIONAL VICE PRESIDENT FINANCE/CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "405-272-7282",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR1300X",
          "TaxonomyName": "Rural Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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