State of Missouri

Case Management Agency · Saint Louis, MO

Organization Active NPI

NPI number 1437360260

Practice location

1901 Pennsylvania Ave
Saint Louis, MO 63133-1325
Phone
(314) 512-7800

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NPI record

NPI
1437360260
Entity type
Organization (Type 2)
Enumeration date
May 24, 2007
Last updated
August 31, 2020
Certified
August 31, 2020
Organization subpart
Yes
Parent organization
State of Missouri

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Management Agency Primary 251B00000X — —

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130
Phone
(573) 751-3398
Fax
(573) 526-4560

Authorized official

Name
Molly Jane Boeckmann
Title
Director of Administrative Services
Phone
(573) 751-4055

Other names

  • Hawthorn Children's Psychiatric Hosptial
  • Hawthorn Children's Psychiatric Hosptial

About State of Missouri

State of Missouri is a healthcare organization registered in the NPI registry with the primary taxonomy Case Management Agency (code 251B00000X). The practice location is 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325. The NPI number 1437360260 was assigned on May 24, 2007 and the record was last updated on August 31, 2020.

The authorized official for this organization is Molly Jane Boeckmann, Director of Administrative Services.

Frequently asked questions

What is the NPI number of State of Missouri?

The NPI number is 1437360260.

What is the phone number of State of Missouri?

The phone number listed for the practice location is (314) 512-7800.

Where is State of Missouri located?

1901 Pennsylvania Ave, Saint Louis, MO 63133-1325.

What is the taxonomy code for State of Missouri?

The primary taxonomy code is 251B00000X – Case Management Agency.

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.

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