Southeast Missouri Community Treatment Center Inc
LBN: Southeast Missouri Community Treatment Center Inc
Southeast Missouri Community Treatment Center Inc is an health care organization with primary practice located at 101 S Main St , Poplar Bluff MO 63901-5843. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Southeast Missouri Community Treatment Center Inc can be contacted via phone (573) 686-5090, or through Pratte, Barron E via phone (573) 431-0554.
Contact Information
Primary practice address
101 S Main St
Poplar Bluff MO 63901-5843
Phone: (573) 686-5090
Fax: (573) 785-4104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1407917404 |
|---|---|
| LBN Legal business name | Southeast Missouri Community Treatment Center Inc |
| DBA Doing business as | |
| Authorized official | Pratte, Barron E PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | May 6th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407917404 | NPPES |
| Missouri | MEDICAID | 866204605 |
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