Northwest Mo Psychiatric Rehabilitation Center
LBN: State Of Missouri
Northwest Mo Psychiatric Rehabilitation Center is an health care organization with primary practice located at 3505 Frederick Ave , Saint Joseph MO 64506-2914. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
State Of Missouri can be contacted via phone (816) 387-2300, or through Boeckmann, Molly Jane via phone (573) 751-4055.
Contact Information
Primary practice address
3505 Frederick Ave
Saint Joseph MO 64506-2914
Phone: (816) 387-2300
Fax: (816) 387-2329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1386691657 |
|---|---|
| LBN Legal business name | State Of Missouri |
| DBA Doing business as | Northwest Mo Psychiatric Rehabilitation Center |
| Authorized official | Boeckmann, Molly Jane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Sep 3rd, 2020 - about 5 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 | 1386691657 | NPPES |
| Missouri | MEDICAID | 500157706 |
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