SSM REGIONAL HEALTH SERVICES
NPI 1396782587
Clinic/Center in Jefferson City, MO

Q: What is Ssm Regional Health Services's NPI number?

The NPI number for Ssm Regional Health Services is 1396782587. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as SSM Health Medical Group - Pediatrics.

Q: What is Ssm Regional Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 31, 2006

3348 AMERICAN AVE, JEFFERSON CITY, MO 65109(573) 761-7210(573) 634-8802 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2025, May 13, 2025, Sep 15, 2020 (3 updates tracked since 2020).

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About Ssm Regional Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSM REGIONAL HEALTH SERVICES (NPI 1396782587), doing business as Ssm Health Medical Group - Pediatrics, is a healthcare organization registered as a clinic/center in Jefferson City, Missouri and active in the NPI registry since May 2006. The organization lists Shasta Rene Manuel, Regional Vice President Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1396782587

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSSM REGIONAL HEALTH SERVICES

Location Address3348 AMERICAN AVEJefferson City, MO 65109-1079

Mailing Address7655 Solutions CtrChicago, IL 60677-7006 · (557) 203-1551 · Fax (314) 989-6721

Phone(573) 761-7210

Fax(573) 634-8802

Organization SubpartYes

Authorized OfficialShasta Rene ManuelRegional Vice President Finance/cfo · (405) 272-7282

Enumeration DateMay 31, 2006

Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1396782587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3348 AMERICAN AVE, Jefferson City, MO 65109

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Other Names 1

Doing Business AsSsm Health Medical Group - Pediatrics

Other Identifiers 1

Medicaid501283501MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM BUSBY M.D.

Pediatrics