1609954809 STATE OF MISSOURI

Substance Use Disorder Rehabilitation Clinic/Center

Active

Basic Information

Organization Name
STATE OF MISSOURI
Enumeration Date
November 2, 2006
Last Update
October 27, 2020
Authorized Official
MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055

Practice Location

Address
1000 E 24TH ST
KANSAS CITY, MO 641082776
Phone
(816) 512-7143

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
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center EXEMPT MO Primary

Other Identifiers

Identifier Type State Issuer
866205800 05 MO N/A

Frequently Asked Questions

What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1609954809.
Which doctor has NPI number 1609954809?
The doctor with NPI number 1609954809 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 1000 E 24TH ST, KANSAS CITY, MO, 641082776.
Which doctor practices at 1000 E 24TH ST, KANSAS CITY, MO, 641082776?
STATE OF MISSOURI practices at 1000 E 24TH ST, KANSAS CITY, MO, 641082776.
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) 512-7143.
Who is (816) 512-7143?
(816) 512-7143 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Substance Use Disorder Rehabilitation Clinic/Center.
Is STATE OF MISSOURI a Rehabilitation, Substance Use Disorder?
Yes, STATE OF MISSOURI is a Rehabilitation, Substance Use Disorder.
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) 512-7143 to inquire about availability.
Is NPI 1609954809 still active?
Yes, NPI 1609954809 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in KANSAS CITY, MO.