1376614701 STATE OF MISSOURI
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- November 9, 2006
- Last Update
- September 3, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 2323 N ASH ST
NEVADA, MO 647721054 - Phone
- (417) 667-7833
- Fax
- (417) 448-1138
Mailing Address
- Address
- PO BOX 687
JEFFERSON CITY, MO 651020687 - Phone
- (573) 526-6895
- Fax
- (573) 526-4560
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | EXEMPT | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051499903 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1376614701.
Which doctor has NPI number 1376614701?
The doctor with NPI number 1376614701 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 2323 N ASH ST, NEVADA, MO, 647721054.
Which doctor practices at 2323 N ASH ST, NEVADA, MO, 647721054?
STATE OF MISSOURI practices at 2323 N ASH ST, NEVADA, MO, 647721054.
What is STATE OF MISSOURI's mailing address?
STATE OF MISSOURI's mailing address is PO BOX 687, JEFFERSON CITY, MO, 651020687.
What is STATE OF MISSOURI's phone number?
STATE OF MISSOURI's phone number is (417) 667-7833.
Who is (417) 667-7833?
(417) 667-7833 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Intellectual Disabilities Intermediate Care Facility.
Is STATE OF MISSOURI a Intermediate Care Facility, Intellectual Disabilities?
Yes, STATE OF MISSOURI is a Intermediate Care Facility, Intellectual Disabilities.
Is STATE OF MISSOURI still practicing?
Yes, STATE OF MISSOURI is currently practicing.
Is STATE OF MISSOURI accepting new patients?
STATE OF MISSOURI may be accepting new patients. Please call their office at (417) 667-7833 to inquire about availability.
Is NPI 1376614701 still active?
Yes, NPI 1376614701 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in NEVADA, MO.