State Of Missouri in Jefferson City - Pediatrics
State Of Missouri - NPI 1316991896
State Of Missouri is a Pediatrics in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for State Of Missouri is 1316991896. The last update date is 2020-10-20.
State Of Missouri's current location address is 1706 E Elm St, Jefferson City, Missouri. You can contact this provider via phone number 5737513398 and fax number 5735264560. The mailing address for State Of Missouri is 1706 E Elm St, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 1706 E Elm St, Jefferson City, Missouri |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1316991896 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
| Address | 1706 E Elm St |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651014130 |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 501500011 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of Missouri by the Centers for Medicare & Medicaid Services?
The State Of Missouri has been issued the NPI (National Provider Identifier) 1316991896, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where State Of Missouri's facilities are situated?
The facilities of State Of Missouri are physically located at the following address: 1706 E Elm St, Jefferson City, MO, 651014130.
What is State Of Missouri's area of expertise and its corresponding taxonomy classification?
The State Of Missouri's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the State Of Missouri receive its 1316991896 assignment from the Centers for Medicare & Medicaid Services?
The State Of Missouri was assigned its 1316991896 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information pertaining to State Of Missouri most recently updated or revised?
The details related to State Of Missouri, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-20.
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