Southeast Missouri State University Autism Center
LBN: Southeast Missouri State University Autism Center
Southeast Missouri State University Autism Center is an health care organization with primary practice located at 611 N Fountain St , Cape Girardeau MO 63701-7244. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Southeast Missouri State University Autism Center can be contacted via phone (573) 986-4985, or through Hebert, Connie L via phone (573) 986-4985.
Contact Information
Primary practice address
611 N Fountain St
Cape Girardeau MO 63701-7244
Phone: (573) 986-4985
Fax: (573) 986-4994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1699020503 |
|---|---|
| LBN Legal business name | Southeast Missouri State University Autism Center |
| DBA Doing business as | |
| Authorized official | Hebert, Connie L MS ED. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 17th, 2012 - about 12 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 | 1699020503 | NPPES |
| Missouri | MEDICAID | 1316261621 |
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