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State Of Missouri

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

physician-icon Basic Information

Practice Location 809 N 13th St, Albany, MO 64402, US
Practice Location Phone660-726-5426
Practice Location Fax660-726-5165
Legal Business NameSTATE OF MISSOURI
Other Organization Name TypeDoing Business As Name
NPI ?1245391028
Entity TypeOrganization
Enumeration Date ? Dec 13, 2006
Last Update Date ? Dec 9, 2010
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
Day Training, Developmentally Disabled Services EXEMPTMissouri

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 Brent Mcginty
Authorized Official Title/PositionDMH DIRECTOR OF ADMINISTRATION
Authorized Official Phone Number573-751-8144