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NPI Code Detail

MEDICARE: SSM AUDRAIN HEALTH CARE, INC

MEDICARE: SSM AUDRAIN HEALTH CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital36-50MO

General Provider Information

NPI Number : 1952390122
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM AUDRAIN HEALTH CARE, INC
Provider Business Mailing Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-582-5000
Fax Number : 573-582-3723
Provider Business Practice Location Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-582-5000
Fax Number : 573-582-3723
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. DAVID A NEUENDORF
Credential :
Telephone Number : 573-582-5000
Provider Enumeration Date : 10/19/2005
Last Update Date : 11/27/2023

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Directions to “SSM AUDRAIN HEALTH CARE, INC ” Practice Location

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