State Of Missouri in Jefferson City - Psychiatric Residential Treatment Facility
State Of Missouri - NPI 1487721379
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 1487721379. 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 | 1487721379 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| 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 Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51774008 | MO | -- |
Post Comment/ Review Below
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) 1487721379 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of State Of Missouri?
The State Of Missouri is physically situated at 1706 E Elm St, in the city of Jefferson City, state of MO, with the postal code 651014130.
What is State Of Missouri's area of expertise and its corresponding taxonomy classification?
The State Of Missouri's field of specialization is Psychiatric Residential Treatment Facility, and it falls under the taxonomy code 323P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1487721379 to State Of Missouri?
The State Of Missouri received its 1487721379 assignment from the Centers for Medicare & Medicaid Services on 2006-11-29.
When was the information regarding State Of Missouri, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to State Of Missouri, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-27.