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Contact Information

KIDS' HARBOR, INC.
5717 CHAPEL DR.
OSAGE BEACH, MO65065
 Phone: 573-348-6886
 Fax: 573-348-6887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for KIDS' HARBOR, INC.

NPI Number 1427038876
LBN Legal business name KIDS' HARBOR, INC.
Authorized official CARA GERDIMAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2006
Last updated 08/10/2011 - About 15 years ago
Identifiers
MO Medicaid 206002909
MO Medicaid 241989565
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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