State Of Missouri in Jefferson City - Psychiatric Residential Treatment Facility
State Of Missouri - NPI 1013096544
State Of Missouri is a Psychiatric Residential Treatment Facility in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for State Of Missouri is 1013096544. The last update date is 2020-08-28.
State Of Missouri's current location address is Po Box 687, Jefferson City, Missouri. You can contact this provider via phone number 5737513398 and fax number 5735264560. The mailing address for State Of Missouri is Po Box 687, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | Po Box 687, 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 | 1013096544 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | Po Box 687 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651020687 |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | EXEMPT |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53445003 | MO | -- | |
| 873445001 | MO | -- |
Post Comment/ Review Below
What is the State Of Missouri's 1013096544?
The State Of Missouri's NPI (National Provider Identifier) Number is 1013096544. 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: Po Box 687, Jefferson City, MO, 651020687.
What is State Of Missouri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for State Of Missouri is Psychiatric Residential Treatment Facility, and the taxonomy code that categorizes this field of expertise is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013096544 to State Of Missouri?
The State Of Missouri received its 1013096544 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the State Of Missouri's information last updated?
The State Of Missouri's information was last updated on 2020-08-28.