MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC. NPI 1326402694

NPI Information

NPI: 1326402694
Provider Name: MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC.

Doing Business As: MARK TWAIN BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
154 FORREST DR
HANNIBAL, MO
ZIP 63401
Phone: (573) 221-2120
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MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC. is an adult mental health clinic center in Hannibal, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC. NPI is 1326402694. The provider is registered as an organization entity type.
The provider Is Doing Business As Mark Twain Behavioral Health.

The provider's business location address is:

154 FORREST DR
HANNIBAL, MO
ZIP 63401-511
Phone: (573) 221-2120
Fax: (573) 221-4380

The provider's authorized official is Jenny Haught .
The authorized official title is Vice President Of Finance and has the following contact phone number (573) 600-9616.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1043367626	MEDICAID	MISSOURI
2	1417004094	MEDICAID	MISSOURI
3	1184771149	MEDICAID	MISSOURI
4	1700933363	MEDICAID	MISSOURI
5	1447307004	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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