Southeast Missouri Community Treatment Center
LBN: Southeast Missouri Behavioral Health
Southeast Missouri Community Treatment Center is an health care organization with primary practice located at 143 S Main St , Ironton MO 63650-1305. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Southeast Missouri Behavioral Health can be contacted via phone (573) 546-4005, or through Pratte, Barron E via phone (573) 431-0554.
Contact Information
Primary practice address
143 S Main St
Ironton MO 63650-1305
Phone: (573) 546-4005
Fax: (573) 546-4014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1831417682 |
|---|---|
| LBN Legal business name | Southeast Missouri Behavioral Health |
| DBA Doing business as | Southeast Missouri Community Treatment Center |
| Authorized official | Pratte, Barron E PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2010 |
| Last updated | May 4th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831417682 | NPPES |
| Missouri | Other | ADA-SDA4200052 | PR PLUS CONTRACT PROVIDER WITH DMH |
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