SSM REGIONAL HEALTH SERVICES – NPI #1053368159
Clinic/Center

SSM REGIONAL HEALTH SERVICES is an AHC clinic located in JEFFERSON CITY, MO. NPPES has assigned the NPI number 1053368159 to SSM REGIONAL HEALTH SERVICES on May 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Dec 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SSM REGIONAL HEALTH SERVICES below.

NPI Profile for
SSM REGIONAL HEALTH SERVICES

NPI Number
1053368159
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SSM REGIONAL HEALTH SERVICES
Primary location
2701 WEST EDGEWOOD
SUITE 101
JEFFERSON CITY, MO 65109
Phone: (573) 634-5303 Fax: (573) 761-6888
Mailing address
7655 SOLUTIONS CTR
CHICAGO, IL 60677-7006
Phone: (557) 203-1551 Fax: (314) 989-6721
Organization Subpart
Yes - SSM REGIONAL HEALTH SERVICES is subpart of another organization.
Authorized Official
SHASTA MANUEL
REGIONAL VICE PRESIDENT FINANCE/CFO
Phone: (405) 272-7282
Updated
Certification Date
Dec 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SSM REGIONAL HEALTH SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO502680002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.