Upward Bound

LBN: Community Alternatives Missouri, Inc.
Upward Bound is an health care organization with primary practice located at 909 Broadway Ste 300 , Hannibal MO 63401-4249. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Community Alternatives Missouri, Inc. can be contacted via phone (314) 965-1307, or through Pank, Mary A via phone (502) 394-2100.

Contact Information

Primary practice address
909 Broadway Ste 300 Hannibal MO 63401-4249
Phone: (314) 965-1307
Fax: (314) 965-1352
Website:
Map and Directions
Authorized official contact:
Name: Pank, Mary A
Phone: (502) 394-2100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1407919566
LBN Legal business name Community Alternatives Missouri, Inc.
DBA Doing business as Upward Bound
Authorized official Pank, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated May 1st, 2019 - about 6 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 1407919566 NPPES
Missouri MEDICAID 852589902

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