Higginsville Habilitation Center

LBN: State Of Missouri
Higginsville Habilitation Center is an health care organization with primary practice located at 100 West 1St St , Higginsville MO 64037. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. State Of Missouri can be contacted via phone (660) 584-2142, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
100 West 1St St Higginsville MO 64037
Phone: (660) 584-2142
Fax: (660) 584-6244
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1407803851
LBN Legal business name State Of Missouri
DBA Doing business as Higginsville Habilitation Center
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2006
Last updated Oct 27th, 2020 - about 6 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 1407803851 NPPES
Missouri MEDICAID 501499701

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