Missouri Schools For The Severely Disabled

LBN: Missouri Schools For The Severely Disabled
Missouri Schools For The Severely Disabled is an health care organization with primary practice located at 205 Jefferson St , Jefferson City MO 65101-2901. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Missouri Schools For The Severely Disabled can be contacted via phone (573) 751-0408, or through Derboven, Archie via phone (573) 751-4427.

Contact Information

Primary practice address
205 Jefferson St Jefferson City MO 65101-2901
Phone: (573) 751-0408
Fax: (573) 751-0276
Website:
Map and Directions
Authorized official contact:
Name: Derboven, Archie
Phone: (573) 751-4427

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1366582827
LBN Legal business name Missouri Schools For The Severely Disabled
DBA Doing business as
Authorized official Derboven, Archie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 27th, 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 1366582827 NPPES
Missouri MEDICAID 504852302

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