Camden County Developmental Disability Resources

LBN: Camden County Senate Bill 40 Board
Camden County Developmental Disability Resources is an health care organization with primary practice located at 100 3Rd Street , Camdenton MO 65020. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Case Management is the primary health care specialty. Camden County Senate Bill 40 Board can be contacted via phone (573) 317-9233, or through Wagner, Boone Caleb via phone (573) 317-9233.

Contact Information

Primary practice address
100 3Rd Street Camdenton MO 65020
Phone: (573) 317-9233
Fax: (573) 317-9332
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Boone Caleb
Phone: (573) 317-9233

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1548307713
LBN Legal business name Camden County Senate Bill 40 Board
DBA Doing business as Camden County Developmental Disability Resources
Authorized official Wagner, Boone Caleb
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 5th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548307713 NPPES
Missouri MEDICAID 156248809
Missouri MEDICAID 156234809

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