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RAY COUNTY BOARD OF SERVICES NPI 1164615530


NPI Information

NPI: 1164615530
Provider Name: RAY COUNTY BOARD OF SERVICES

Doing Business As: RAY COUNTY SB 40 TCM

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
200 N COLLEGE ST
RICHMOND, MO
ZIP 64085
Phone: (816) 470-7140
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RAY COUNTY BOARD OF SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RAY COUNTY BOARD OF SERVICES NPI is 1164615530. The provider is registered as an organization entity type.
The provider Is Doing Business As Ray County Sb 40 Tcm.

The provider's business location address is:

200 N COLLEGE ST
RICHMOND, MO
ZIP 64085-604
Phone: (816) 470-7140
Fax: (816) 776-3383

The provider's authorized official is Robert L. Bond .
The authorized official title is Executive Director and has the following contact phone number (816) 470-7140.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 6/22/2012.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
11386782696MEDICAIDMISSOURI
2856259601MEDICAIDMISSOURI

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

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