St Louis Forensic Treatment Center

LBN: State Of Missouri
St Louis Forensic Treatment Center is an health care organization with primary practice located at 5300 Arsenal St , Saint Louis MO 63139-1463. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. State Of Missouri can be contacted via phone (314) 644-8000, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
5300 Arsenal St Saint Louis MO 63139-1463
Phone: (314) 644-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1427002013
LBN Legal business name State Of Missouri
DBA Doing business as St Louis Forensic Treatment Center
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Dec 1st, 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 1427002013 NPPES
Missouri MEDICAID 501500003

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