SB40 TCM
Case Management Agency · Middle Brook, MO
Practice location
HC 1 Box 2Middle Brook, MO 63656-9701
- Phone
- (573) 546-3981
NPI record
- NPI
- 1043455272
- Entity type
- Organization (Type 2)
- Enumeration date
- December 2, 2008
- Last updated
- December 2, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Agency Primary | 251B00000X |
— | MO |
| Case Management Agency | 251B00000X |
— | — |
Mailing address
PO Box 278Ironton, MO 63650-0278
- Phone
- (573) 546-3981
Authorized official
- Name
- Mr. Gary Wayne Phegley
- Title
- Director
- Phone
- (573) 546-3981
About SB40 TCM
SB40 TCM is a healthcare organization registered in the NPI registry with the primary taxonomy Case Management Agency (code 251B00000X). The practice location is HC 1 Box 2, Middle Brook, MO 63656-9701. The NPI number 1043455272 was assigned on December 2, 2008 and the record was last updated on December 2, 2008.
The authorized official for this organization is Mr. Gary Wayne Phegley, Director.
Frequently asked questions
What is the NPI number of SB40 TCM?
The NPI number is 1043455272.
What is the phone number of SB40 TCM?
The phone number listed for the practice location is (573) 546-3981.
Where is SB40 TCM located?
HC 1 Box 2, Middle Brook, MO 63656-9701.
What is the taxonomy code for SB40 TCM?
The primary taxonomy code is 251B00000X – Case Management Agency; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.