Southeast Missouri Community Treatment Center

LBN: Southeast Missouri Behavioral Health
Southeast Missouri Community Treatment Center is an health care organization with primary practice located at 5536 Hwy 32 , Farmington MO 63640-7357. 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. Southeast Missouri Behavioral Health can be contacted via phone (573) 756-5749, or through Pratte, Barron E via phone (573) 756-5749.

Contact Information

Primary practice address
5536 Hwy 32 Farmington MO 63640-7357
Phone: (573) 756-5749
Fax: (573) 431-5205
Website:
Map and Directions
Authorized official contact:
Name: Pratte, Barron E PH.D.
Phone: (573) 756-5749

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1465 Missouri

Profile Details

NPI number 1013362078
LBN Legal business name Southeast Missouri Behavioral Health
DBA Doing business as Southeast Missouri Community Treatment Center
Authorized official Pratte, Barron E PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2016
Last updated Apr 27th, 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 1013362078 NPPES
Missouri MEDICAID 876173303

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