OrganizationActive
Ssm Regional Health Services
NPI 1528014156 · Clinic/Center · Eldon, MO
Provider details
- NPI number
- 1528014156
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ssm Regional Health Services
- Organization subpart
- Yes
- Authorized official
- Brent Van Conia, President(573) 761-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1112 E North St
Eldon, MO 65026-2602
Phone: (573) 392-3767
Fax: (573) 392-1976
Street-level locationGet directions
Mailing address
Po Box 1027
Jefferson City, MO 65102-1027
Other names (DBA / former)
- Doing business as
- St. Marys Eldon Medical Clinic
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.