Organization · Type 2 NPI

State of Missouri

Psychiatric Hospital · Farmington, MO

NPI number 1861447526 Active

Practice location

1010 W Columbia St
Farmington, MO 63640-2902

Call (573) 218-6792 Map

Fax (573) 218-6703

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	None listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

35 other providers at this address

NPI record

NPI: 1861447526
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Sep 3, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

<unavail>
Southeast Mo Mental Health Center · doing business as
Southeast Mo Mental Health 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.

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About NPI 1861447526

State of Missouri's National Provider Identifier is 1861447526, issued on May 23, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Farmington, MO. The record was last updated on Sep 3, 2020.