| Ssm Health Wound Center | |
|
2505 Mission Dr Suite 210 Jefferson City MO 65109-9508 | |
| (573) 681-3000 | |
| (573) 659-2503 |
| Full Name | Ssm Health Wound Center |
|---|---|
| Speciality | General Practice |
| Location | 2505 Mission Dr, Jefferson City, Missouri |
| Authorized Official Name and Position | Garrick Elliott Mueller (CFO) |
| Authorized Official Contact | 4052807582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Wound Center Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 681-3767 | Ssm Health Wound Center 2505 Mission Dr Suite 210 Jefferson City MO 65109-9508 Ph: (573) 681-3000 |
| NPI Number | 1043450711 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 09/15/2020 |
| Medicare PECOS PAC ID | 8921917352 |
|---|---|
| Medicare Enrollment ID | O20050510000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043450711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Matthew M Fiori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164519963 PECOS PAC ID: 3476505538 Enrollment ID: I20050420000311 |
| Provider Name | Gary Baskett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922039817 PECOS PAC ID: 0345277141 Enrollment ID: I20050725000001 |
Spine Midwest, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101 Phone: 573-634-4212 | |
Capital Region Corporate Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 Phone: 573-632-5786 Fax: 573-632-5833 | |
Family Medicine Of Jefferson City, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109 Phone: 573-659-7300 Fax: 573-636-0555 | |
Innovative Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109 Phone: 949-696-6157 | |
Capital Region Physicians - Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E High St, Jefferson City, MO 65101 Phone: 573-635-0916 Fax: 573-635-8812 | |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Elm Ct, Jefferson City, MO 65101 Phone: 573-634-4878 |