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State Of Missouri
Psychiatric Hospital in Saint Joseph, Missouri
NPI 1104879444

State Of Missouri is a Psychiatric Hospital based in Jefferson City, MO. State Of Missouri practices in Saint Joseph, MO. The NPI Number for State Of Missouri is 1104879444 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 3505 Frederick Ave, Saint Joseph, MO and can be reached out via phone at 816-387-2300 and via fax at 816-387-2329.

Location: 3505 Frederick Ave, Saint Joseph, MO, 65102-0687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104879444
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
3505 Frederick Ave, Saint Joseph, MO, 65102-0687
Phone Number
816-387-2300
Fax Number
816-387-2329
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050157700 05 MO
institution
Provider Business Practice Location Address Details
Address
3505 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-2914
Phone Number
816-387-2300
Fax Number
816-387-2329
person
Provider Business Mailing Address Details
Address
3505 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-2914
Phone Number
816-387-2300
Fax Number
816-387-2329
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
EXEMPT (Missouri)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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