STATE OF MISSOURI NPI 1730134495

NPI Information

NPI: 1730134495
Provider Name: STATE OF MISSOURI

Doing Business As: CENTER FOR BEHAVIORAL MEDICINE

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

Address:
1000 E 24TH ST
KANSAS CITY, MO
ZIP 64108
Phone: (816) 512-7000
Get Directions

STATE OF MISSOURI is a psychiatric hospital in Kansas City, MO. The provider is 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. STATE OF MISSOURI NPI is 1730134495. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Behavioral Medicine.

The provider's business location address is:

1000 E 24TH ST
KANSAS CITY, MO
ZIP 64108-776
Phone: (816) 512-7000
Fax: (816) 512-7509

The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.

The CLIA number assigned to this NPI record is 26D0045951 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/26/2020.

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	283Q00000X	Psychiatric Hospital				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	Other Provider Identifier Issuer
1	020931705	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: 4/28/2024

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