STODDARD COUNTY ARC GH 2W NPI 1881715365

NPI Information

  • NPI: 1881715365
  • Provider Name: STODDARD COUNTY ARC GH 2W
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 716 BOUCHER ST
    DEXTER, MO
    ZIP 63841
  • Phone: (573) 624-5763

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NPI Details

STODDARD COUNTY ARC GH 2W is a community based residential treatment facility, intellectual and/or developmental disabilities in Dexter, 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. STODDARD COUNTY ARC GH 2W NPI is 1881715365. The provider is registered as an organization entity type.

The provider's business location address is:

716 BOUCHER ST
DEXTER, MO
ZIP 63841-400
Phone: (573) 624-5763

The provider's authorized official is Cynthia Chesser .
The authorized official title is President and has the following contact phone number (573) 624-5763.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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

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: 11/21/2025

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