TRI-COUNTY CENTER FOR INDEPENDENT LIVING; NPI #1720115579

Contact Information

TRI-COUNTY CENTER FOR INDEPENDENT LIVING

1420 E STATE ROUTE 72
ROLLA, MO 65401-3988

Phone: 573-368-5933
Fax: 573-368-5991
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for TRI-COUNTY CENTER FOR INDEPENDENT LIVING

NPI # 1720115579

LBN Legal business name TRI-COUNTY CENTER FOR INDEPENDENT LIVING

Authorized official DOUGLAS WILLIAMS - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/28/2007

Last updated 07/26/2012 - About 14 years ago

Identifiers

Medicaid

266236207

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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TRI-COUNTY CENTER FOR INDEPENDENT LIVING

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for TRI-COUNTY CENTER FOR INDEPENDENT LIVING

Reviews for TRI-COUNTY CENTER FOR INDEPENDENT LIVING