OrganizationActive
Ssm Regional Health Services
NPI 1619923240 · Oncology Clinic/Center · Jefferson City, MO
Provider details
- NPI number
- 1619923240
- Entity type
- Organization
- Primary specialty
- Oncology 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
Practice location
200 Saint Marys Plz
Ste 202
Jefferson City, MO 65101-1604
Phone: (573) 761-0457
Fax: (573) 761-0459
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1027
Jefferson City, MO 65102-1027
Other names (DBA / former)
- Doing business as
- St. Marys Cancer Specialist
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.