State Of Missouri in Jefferson City - Psychiatric Hospital
State Of Missouri - NPI 1952356610
State Of Missouri is a Psychiatric Hospital in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Missouri is 1952356610. The last update date is 2020-10-27.
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 | 1952356610 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2020-10-27 |
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 | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21499900 | MO | -- |
Post Comment/ Review Below
What is the State Of Missouri's 1952356610?
The State Of Missouri's NPI (National Provider Identifier) Number is 1952356610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where State Of Missouri's facilities are geographically located?
The facilities of State Of Missouri are physically situated at the following location: 1706 E Elm St, Jefferson City, MO, 651014130.
What is the area of specialization for State Of Missouri, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Missouri is Psychiatric Hospital, and the corresponding taxonomy code that categorizes this area of expertise is 283Q00000X.
On what date did the State Of Missouri receive its 1952356610 assignment from the Centers for Medicare & Medicaid Services?
The State Of Missouri was assigned its 1952356610 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the State Of Missouri's details last updated?
The information pertaining to the State Of Missouri, including its address, specialty, and other details, was most recently updated on 2020-10-27.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN