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Contact Information

SAC RIVER INSTITUTE
131 ELM STREET
DADEVILLE, MO65635
 Phone: 417-995-2476
 Fax: 866-520-5586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAC RIVER INSTITUTE

NPI Number 1700139755
LBN Legal business name SAC RIVER INSTITUTE
Authorized official REBECCA ROLLER - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2012
Last updated 10/16/2012 - About 14 years ago
Identifiers
MO License # 2006033497
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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