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 1701 N Central , Monett MO 65708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Clark Community Mental Health Center can be contacted via phone (417) 476-1034, or through Genel, Jess Marie via phone (417) 476-1034.

Contact Information

Primary practice address
1701 N Central Monett MO 65708
Phone: (417) 476-1034
Fax: (417) 476-1082
Website:
Map and Directions
Authorized official contact:
Name: Genel, Jess Marie
Phone: (417) 476-1034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1548615024
LBN Legal business name Clark Community Mental Health Center
DBA Doing business as
Authorized official Genel, Jess Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated May 3rd, 2016 - about 9 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 1548615024 NPPES
Missouri MEDICAID 1801807771

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