1104878792 STATE OF MISSOURI
Psychiatric Hospital
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- May 16, 2006
- Last Update
- August 31, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 600 E 5TH ST
FULTON, MO 652511753 - Phone
- (573) 592-4100
- Fax
- (573) 592-3100
Mailing Address
- Address
- PO BOX 687
ADMIN-REIMBURSEMENT SECTION
JEFFERSON CITY, MO 651020687 - Phone
- (573) 751-3398
- Fax
- (573) 526-4560
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Psychiatric Hospital | EXEMPT | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050490002 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1104878792.
Which doctor has NPI number 1104878792?
The doctor with NPI number 1104878792 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 600 E 5TH ST, FULTON, MO, 652511753.
Which doctor practices at 600 E 5TH ST, FULTON, MO, 652511753?
STATE OF MISSOURI practices at 600 E 5TH ST, FULTON, MO, 652511753.
What is STATE OF MISSOURI's mailing address?
STATE OF MISSOURI's mailing address is PO BOX 687, ADMIN-REIMBURSEMENT SECTION, JEFFERSON CITY, MO, 651020687.
What is STATE OF MISSOURI's phone number?
STATE OF MISSOURI's phone number is (573) 592-4100.
Who is (573) 592-4100?
(573) 592-4100 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Psychiatric Hospital.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Psychiatric Hospital.
Is STATE OF MISSOURI a Psychiatric Hospital?
Yes, STATE OF MISSOURI is a Psychiatric Hospital.
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 (573) 592-4100 to inquire about availability.
Is NPI 1104878792 still active?
Yes, NPI 1104878792 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in FULTON, MO.