1104879444 STATE OF MISSOURI

Psychiatric Hospital

Active

Basic Information

Organization Name
STATE OF MISSOURI
Enumeration Date
May 18, 2006
Last Update
October 27, 2020
Authorized Official
MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055

Practice Location

Address
3505 FREDERICK AVE
SAINT JOSEPH, MO 645062914
Phone
(816) 387-2300
Fax
(816) 387-2329

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
Psychiatric Hospital
283Q00000X Psychiatric Hospital EXEMPT MO Primary

Other Identifiers

Identifier Type State Issuer
050157700 05 MO N/A

Frequently Asked Questions

What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1104879444.
Which doctor has NPI number 1104879444?
The doctor with NPI number 1104879444 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 3505 FREDERICK AVE, SAINT JOSEPH, MO, 645062914.
Which doctor practices at 3505 FREDERICK AVE, SAINT JOSEPH, MO, 645062914?
STATE OF MISSOURI practices at 3505 FREDERICK AVE, SAINT JOSEPH, MO, 645062914.
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 (816) 387-2300.
Who is (816) 387-2300?
(816) 387-2300 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 (816) 387-2300 to inquire about availability.
Is NPI 1104879444 still active?
Yes, NPI 1104879444 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in SAINT JOSEPH, MO.