1689745010 STATE OF MISSOURI
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- November 9, 2006
- Last Update
- October 27, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 100 W 1ST ST
HIGGINSVILLE, MO 640371171 - Phone
- (660) 584-2142
- Fax
- (660) 584-6244
Mailing Address
- Address
- PO BOX 687
JEFFERSON CITY, MO 651020687 - Phone
- (573) 751-3398
- 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 |
|---|---|---|---|
| 051499705 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1689745010.
Which doctor has NPI number 1689745010?
The doctor with NPI number 1689745010 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 100 W 1ST ST, HIGGINSVILLE, MO, 640371171.
Which doctor practices at 100 W 1ST ST, HIGGINSVILLE, MO, 640371171?
STATE OF MISSOURI practices at 100 W 1ST ST, HIGGINSVILLE, MO, 640371171.
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 (660) 584-2142.
Who is (660) 584-2142?
(660) 584-2142 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 (660) 584-2142 to inquire about availability.
Is NPI 1689745010 still active?
Yes, NPI 1689745010 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in HIGGINSVILLE, MO.