Clark Community Mental Health Center

LBN: Clark Community Mental Health Center
Clark Community Mental Health Center is an health care organization with primary practice located at 104 W Main St , Pierce City MO 65723-1210. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Clark Community Mental Health Center can be contacted via phone (417) 476-1000, or through Ridenour, Brad via phone (417) 476-1000.

Contact Information

Primary practice address
104 W Main St Pierce City MO 65723-1210
Phone: (417) 476-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ridenour, Brad
Phone: (417) 476-1000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1784 Missouri

Profile Details

NPI number 1497297626
LBN Legal business name Clark Community Mental Health Center
DBA Doing business as
Authorized official Ridenour, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2016
Last updated Nov 4th, 2016 - about 8 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 1497297626 NPPES
Missouri MEDICAID 1801807771

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