Southwest Missouri Psychiatric Rehabilitation Center

LBN: State Of Missouri
Southwest Missouri Psychiatric Rehabilitation Center is an health care organization with primary practice located at 1301 Industrial Pkwy E , El Dorado Springs MO 64744-6263. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. State Of Missouri can be contacted via phone (417) 876-1004, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
1301 Industrial Pkwy E El Dorado Springs MO 64744-6263
Phone: (417) 876-1004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1194936971
LBN Legal business name State Of Missouri
DBA Doing business as Southwest Missouri Psychiatric Rehabilitation Center
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2007
Last updated Aug 28th, 2020 - about 4 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 1194936971 NPPES
Missouri MEDICAID 151499902

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