Mineral Area Psychiatric Services Llc

LBN: Mineral Area Psychiatric Services Llc
Mineral Area Psychiatric Services Llc is an health care organization with primary practice located at 203 S Washington St , Farmington MO 63640-1836. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Mineral Area Psychiatric Services Llc can be contacted via phone (573) 664-1047, or through Crawford, Gabriel E via phone (573) 330-6468.

Contact Information

Primary practice address
203 S Washington St Farmington MO 63640-1836
Phone: (573) 664-1047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Gabriel E PMHNP-BC
Phone: (573) 330-6468

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 103297 Missouri

Profile Details

NPI number 1306379482
LBN Legal business name Mineral Area Psychiatric Services Llc
DBA Doing business as
Authorized official Crawford, Gabriel E PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2017
Last updated Aug 9th, 2023 - about 2 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 1306379482 NPPES
Missouri MEDICAID 160318081127359

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