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DSH260011 SSM HEALTH-ST. MARYS-JEFFERSON CITY (Active)
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Main Details
Name
SSM HEALTH-ST. MARYS-JEFFERSON CITY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260011
Medicare Provider Number
260011
Additional Details
Current Program Status
Active
Registration Date
4/8/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/18/2022
Last Recertification Date
9/1/2024
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
SSM Health
Michelle Nicole Schmitt, Director of Business Operations
(608) 294-6203
Addresses
Street Address
2505 Mission Drive
JEFFERSON CITY, MO 65109
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/25/2021, terminated 10/1/2021. Reinstated 7/1/2022.
04/18/2022
April 2025
April 2025
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