SSM Audrain Health Care, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

36-50 Issued in MO

Legal business name

SSM AUDRAIN HEALTH CARE, INC

Doing business as

SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN

Practice address

620 E Monroe St
Mexico, MO 65265-2919

Phone

(573) 582-5000

Fax

(573) 582-3723

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David A Neuendorf

Title

President Ceo

Phone

(573) 582-5000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN Doing business as

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1841334836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "573-582-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "573-582-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM AUDRAIN HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "NEUENDORF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "573-582-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "36-50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "36-50",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540328101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "483",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charla Jenea Smith, PT
• Kathaleen M Smith, CERTIFIED DOULA
• Lisa Snow, LCSW
• Kristen Soehngen, MD
• Kelly Marie Sonwalt, SLP-A
• SSM Audrain Health Care, Inc
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.

• General Acute Care Hospital in Mexico, MO
• Providers in Mexico, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.