Active NPI
SSM Audrain Health Care, Inc
- General Acute Care Hospital
- Mexico, MO
National Provider Identifier
1952390122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 36-50
- 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
- Oct 19, 2005
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 36-50 | MO | Primary |
Addresses
Primary practice location
620 E Monroe St
Mexico, MO 65265-2919
Mailing address
620 E Monroe St
Mexico, MO 65265-2919
Phone (573) 582-5000
Other names 1
- SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
National Provider Directory
National Provider DirectoryMember 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": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1952390122",
"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": "2005-10-19",
"last_updated": "2023-11-27",
"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": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.