State Of Missouri in Jefferson City - Psychiatric Hospital
State Of Missouri - NPI 1821043589
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 1821043589. 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 | 1821043589 |
|---|---|
| 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 |
|---|---|---|---|
| 20565701 | MO | -- |
Post Comment/ Review Below
What is the unique identification 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) 1821043589. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where State Of Missouri is physically located?
The State Of Missouri is physically situated at the following address: 1706 E Elm St, Jefferson City, MO, 651014130.
What is State Of Missouri's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for State Of Missouri is Psychiatric Hospital, and the taxonomy code that classifies this field of practice is 283Q00000X.
On what date did the State Of Missouri receive the assignment of its 1821043589 from the Centers for Medicare & Medicaid Services?
The State Of Missouri was issued its 1821043589 by the Centers for Medicare & Medicaid Services on 2006-05-23.
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 2020-10-27.
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