Southeast Missouri Behavioral Health in Farmington - Rehabilitation, Substance Use Disorder
Southeast Missouri Behavioral Health - NPI 1023176054
Southeast Missouri Behavioral Health is a Rehabilitation, Substance Use Disorder in Farmington, Missouri. Southeast Missouri Behavioral Health practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Southeast Missouri Behavioral Health is 1023176054. The last update date is 2016-03-31.
Southeast Missouri Behavioral Health's current location address is 5536 Hwy 32, Farmington, Missouri. You can contact this provider via phone number 5737565749 and fax number 5734315205. The mailing address for Southeast Missouri Behavioral Health is 5536 Hwy 32, Farmington, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri Behavioral Health |
|---|---|
| Address | 5536 Hwy 32, Farmington, Missouri |
| Phone Number | 5737565749 |
| Fax Number | 5734315205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pratte E Barron |
| Credentials | PH.D. |
| Telephone Number | 5737565749 |
NPI Number Detail
| NPI Number | 1023176054 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2016-03-31 |
Provider Mailing Address Detail
| Address | 5536 Hwy 32 |
|---|---|
| City | Farmington |
| State | Missouri (MO) |
| Post Code | 636407357 |
| Phone Number | 5737565749 |
| Fax Number | 5734315205 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 866204803 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southeast Missouri Behavioral Health?
The Southeast Missouri Behavioral Health has been issued the NPI (National Provider Identifier) 1023176054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Southeast Missouri Behavioral Health is geographically located?
The Southeast Missouri Behavioral Health is physically situated at the following location: 5536 Hwy 32, Farmington, MO, 636407357.
What is the area of specialization for Southeast Missouri Behavioral Health, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Missouri Behavioral Health is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023176054 to Southeast Missouri Behavioral Health?
The Southeast Missouri Behavioral Health received its 1023176054 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information related to Southeast Missouri Behavioral Health most recently updated or refreshed?
The details pertaining to the Southeast Missouri Behavioral Health, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-31.