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Contact Information

ARCHIE R-V
302 WEST STATE ROUTE A
ARCHIE, MO64725-0106
 Phone: 816-293-5312
 Fax: 816-293-5712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ARCHIE R-V

NPI Number 1205976594
LBN Legal business name ARCHIE R-V
Authorized official LEE HARMON - (DIRECTOR SPEC. PROG.)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 05/15/2014 - About 12 years ago
Identifiers
MO Medicaid 506073600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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