NPIMap

Organization Active NPI

SSM Regional Health Services

  • Clinic/Center
  • Westphalia, MO
National Provider Identifier
1467408484
Registry record updated Jul 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SSM REGIONAL HEALTH SERVICES
Practice address
1875 Highway 63
Westphalia, MO 65085-2215
Phone
(573) 455-9838
Fax
(573) 455-2208
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
SSM REGIONAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Van Conia
Title
President
Phone
(573) 761-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1875 Highway 63
Westphalia, MO 65085-2215

Mailing address

PO Box 1027
Jefferson City, MO 65102-1027
Phone (573) 761-7246

Other names 1

  • St. Marys Westphalia Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
St Marys Holts Summit Phar

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185580800000",
    "number": "1467408484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651021027",
            "telephone_number": "573-761-7246",
            "fax_number": "573-761-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HIGHWAY 63",
            "city": "WESTPHALIA",
            "state": "MO",
            "postal_code": "650852215",
            "telephone_number": "573-455-9838",
            "fax_number": "573-455-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM REGIONAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM REGIONAL HEALTH SERVICES",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-28",
        "status": "A",
        "authorized_official_last_name": "VAN CONIA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-761-7000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys Westphalia Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westphalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.