STATE OF MISSOURI NPI 1194936971

NPI Information

  • NPI: 1194936971
  • Provider Name: STATE OF MISSOURI
  • Classification: Case Management - 251B00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHWEST MISSOURI PSYCHIATRIC REHABILITATION CENTER
  • Address: 1301 INDUSTRIAL PKWY E
    EL DORADO SPRINGS, MO
    ZIP 64744
  • Phone: (417) 876-1004

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NPI Details

STATE OF MISSOURI is a case management in El Dorado Springs, MO. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. STATE OF MISSOURI NPI is 1194936971. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Missouri Psychiatric Rehabilitation Center.

The provider's business location address is:

1301 INDUSTRIAL PKWY E
EL DORADO SPRINGS, MO
ZIP 64744-263
Phone: (417) 876-1004

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 enumeration date for this NPI number is 5/24/2007 and was last updated on 8/28/2020.

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
1251B00000XCase ManagementYes

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
1151499902MEDICAIDMISSOURI

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: 3/30/2025

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