Southeast Missouri Residential Services-Sikeston Prof Grp
LBN: State Of Missouri
Southeast Missouri Residential Services-Sikeston Prof Grp is an health care organization with primary practice located at 112 Plaza Dr , Sikeston MO 63801-5137. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
State Of Missouri can be contacted via phone (573) 472-5300, or through Boeckmann, Molly Jane via phone (573) 751-4055.
Contact Information
Primary practice address
112 Plaza Dr
Sikeston MO 63801-5137
Phone: (573) 472-5300
Fax: (573) 472-5308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1528348430 |
|---|---|
| LBN Legal business name | State Of Missouri |
| DBA Doing business as | Southeast Missouri Residential Services-Sikeston Prof Grp |
| Authorized official | Boeckmann, Molly Jane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Oct 20th, 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.
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