State Of Missouri in Jefferson City - Case Management

State Of Missouri - NPI 1336219070

State Of Missouri is a Case Management in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Case Management. The NPI Number for State Of Missouri is 1336219070. The last update date is 2020-10-15.

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 1336219070
Provider Enumeration Date 2006-11-09
Last Updated Date 2020-10-15

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 Case Management
Taxonomy 251B00000X
Licence No EXEMPT
Definition:
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
151792702 MO --

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FAQs about State Of Missouri

What is the unique 10-digit identifier 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) 1336219070 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of State Of Missouri?

The State Of Missouri is situated at 1706 E Elm St, in the city of Jefferson City, state of MO, with the zip code 651014130.

What is State Of Missouri's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The State Of Missouri's specialized field of practice is Case Management, and the corresponding taxonomy code that categorizes this area of specialization is 251B00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336219070 to State Of Missouri?

The Centers for Medicare & Medicaid Services originally issued the 1336219070 to State Of Missouri on 2006-11-09.

When was the information related to State Of Missouri most recently updated or refreshed?

The details pertaining to the State Of Missouri, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-15.

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