Boys And Girls Town Missouri

LBN: Boys And Girls Town Missouri
Boys And Girls Town Missouri is an health care organization with primary practice located at 1212 W Lombard St , Springfield MO 65806-2720. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Boys And Girls Town Missouri can be contacted via phone (417) 865-1646, or through Shank, Greg via phone (417) 865-1646.

Contact Information

Primary practice address
1212 W Lombard St Springfield MO 65806-2720
Phone: (417) 865-1646
Fax: (417) 866-1483
Website:
Map and Directions
Authorized official contact:
Name: Shank, Greg MSW,
Phone: (417) 865-1646

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 2002002751 Missouri

Profile Details

NPI number 1013086842
LBN Legal business name Boys And Girls Town Missouri
DBA Doing business as
Authorized official Shank, Greg MSW,
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013086842 NPPES
Missouri MEDICAID 494901309

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