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Contact Information

EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
1225 AGUILAR DR.
MONTGOMERY CITY, MO63361
 Phone: 573-582-1234
 Fax: 573-582-1212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC

NPI Number 1376164699
LBN Legal business name EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Authorized official JEANANN EARLY - (DIRECTOR OF COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2020
Last updated 12/12/2024 - More than a year ago
Identifiers
MO Medicaid 500100410
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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