State Of Missouri

LBN: State Of Missouri
State Of Missouri 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. State Of Missouri can be contacted via phone (573) 751-3559, or through Jackman, Joyce A via phone (573) 751-3559.

Contact Information

Primary practice address
205 Jefferson St Jefferson City MO 65101-2901
Phone: (573) 751-3559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackman, Joyce A
Phone: (573) 751-3559

Health care specialties

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

Profile Details

NPI number 1942359781
LBN Legal business name State Of Missouri
DBA Doing business as
Authorized official Jackman, Joyce A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 19th, 2008 - about 18 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 1942359781 NPPES
Missouri MEDICAID 505767004

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