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STATE OF MISSOURI NPI 1316158199


NPI Information

NPI: 1316158199
Provider Name: STATE OF MISSOURI

Doing Business As: NORTHWEST MISSOURI PSYCHIATRIC REHABILITATION CENTER

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 26D0930628

Address:
3505 FREDERICK AVE
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 387-2300
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STATE OF MISSOURI is a case management in Saint Joseph, 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 1316158199. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Missouri Psychiatric Rehabilitation Center.

The provider's business location address is:

3505 FREDERICK AVE
SAINT JOSEPH, MO
ZIP 64506-914
Phone: (816) 387-2300

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 26D0930628 - hospital with a certificate type of Certificate of Waiver.

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
1150157717MEDICAIDMISSOURI

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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