NPI: 1043450711 · JEFFERSON CITY, MO 65109 · General Practice Physician · NPI assigned 02/20/2009
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO) |
| Parent Organization | SSM REGIONAL HEALTH SERVICES |
| NPI Enumeration Date | 02/20/2009 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 238 | $3K |
| 2019 | 274 | $6K |
| 2020 | 234 | $6K |
| 2021 | 310 | $9K |
| 2022 | 377 | $13K |
| 2023 | 360 | $15K |
| 2024 | 249 | $10K |