1013096544 STATE OF MISSOURI
Psychiatric Residential Treatment Facility
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- November 3, 2006
- Last Update
- August 28, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINSTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 1025 N SPRIGG ST
CAPE GIRARDEAU, MO 637014831 - Phone
- (573) 290-5888
- Fax
- (573) 290-5895
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 Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | EXEMPT | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053445003 | 05 | MO | N/A |
| 873445001 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1013096544.
Which doctor has NPI number 1013096544?
The doctor with NPI number 1013096544 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 1025 N SPRIGG ST, CAPE GIRARDEAU, MO, 637014831.
Which doctor practices at 1025 N SPRIGG ST, CAPE GIRARDEAU, MO, 637014831?
STATE OF MISSOURI practices at 1025 N SPRIGG ST, CAPE GIRARDEAU, MO, 637014831.
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 (573) 290-5888.
Who is (573) 290-5888?
(573) 290-5888 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Psychiatric Residential Treatment Facility.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Psychiatric Residential Treatment Facility.
Is STATE OF MISSOURI a Psychiatric Residential Treatment Facility?
Yes, STATE OF MISSOURI is a Psychiatric Residential Treatment Facility.
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) 290-5888 to inquire about availability.
Is NPI 1013096544 still active?
Yes, NPI 1013096544 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in CAPE GIRARDEAU, MO.