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State Of Missouri

State Of Missouri is a health care provider in Fulton, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 505 E 5th St, Fulton, MO 65251-1703, US
Practice Location Phone573-592-4000
Practice Location Fax573-592-2570
Legal Business NameSTATE OF MISSOURI
Other Organization Name TypeDoing Business As Name
NPI ?1245300375
Entity TypeOrganization
Enumeration Date ? Nov 8, 2006
Last Update Date ? Sep 19, 2008
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of State Of Missouri

SpecialtySpecializationLicenseLicense State
Local Education Agency (LEA)

legacy-id-icon Legacy Provider IDs of State Of Missouri

Provider IdIssuer StateIssuer TypeIssuer

official-icon Authorized Official of State Of Missouri

An authorized official is an appointed official with the legal authority to make changes and/or updates to the State Of Missouri's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Thomas R Zengel
Authorized Official Title/PositionBUSINESS MANAGER
Authorized Official Phone Number573-592-4000