Moniteau Mental Health Care

LBN: Moniteau Mental Health Care
Moniteau Mental Health Care is an health care organization with primary practice located at 320 S Oak St , California MO 65018-1824. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Moniteau Mental Health Care can be contacted via phone (573) 230-1037, or through Shuck, Kellie L via phone (573) 796-2905.

Contact Information

Primary practice address
320 S Oak St California MO 65018-1824
Phone: (573) 230-1037
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shuck, Kellie L APRN-PMH
Phone: (573) 796-2905

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2000161947 Missouri

Profile Details

NPI number 1780848747
LBN Legal business name Moniteau Mental Health Care
DBA Doing business as
Authorized official Shuck, Kellie L APRN-PMH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2008
Last updated Jul 17th, 2008 - about 17 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 1780848747 NPPES
Missouri MEDICAID 427531801

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