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Contact Information

EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
340 KELLEY PKWY
MEXICO, MO65265-3811
 Phone: 573-582-1234
 Fax: 573-582-1212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1104980267
LBN Legal business name EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Authorized official TERRY MACKEY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 09/30/2019 - About 7 years ago
Identifiers
MO License # 5726-7685
MO Medicaid 150328110
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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