Organization · Type 2 NPI

State of Missouri

Case Management Agency · Poplar Bluff, MO

NPI number 1063582708 Active

Practice location

2351 Kanell Blvd
Poplar Bluff, MO 63901-4035

Call (573) 840-9300 Map

Fax (573) 840-9311

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130

Specialties and licenses

Taxonomy	Code	License
Case Management Agency Primary	251B00000X	EXEMPT (MO)

Case Management Agency: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate provide…

5 other providers at this address

Other case management agency providers in Poplar Bluff

See all in Poplar Bluff →

NPI record

NPI: 1063582708
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Oct 20, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

<unavail>
Poplar Bluff Regional Center · doing business as
Poplar Bluff Regional Center · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063582708

State of Missouri's National Provider Identifier is 1063582708, issued on Nov 9, 2006. The primary taxonomy on file is Case Management Agency (251B00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 20, 2020.