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State Of Missouri
Psychiatric Hospital in Farmington, Missouri
NPI 1861447526

State Of Missouri is a Psychiatric Hospital based in Jefferson City, MO. State Of Missouri practices in Farmington, MO. The NPI Number for State Of Missouri is 1861447526 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 1010 W Columbia St, Farmington, MO and can be reached out via phone at 573-218-6792 and via fax at 573-218-6703.

Location: 1010 W Columbia St, Farmington, MO, 65101-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861447526
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1010 W Columbia St, Farmington, MO, 65101-4130
Phone Number
573-218-6792
Fax Number
573-218-6703
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050490200 05 MO
institution
Provider Business Practice Location Address Details
Address
1010 W Columbia St
City
Farmington
State
Missouri
Zip
63640-2902
Phone Number
573-218-6792
Fax Number
573-218-6703
person
Provider Business Mailing Address Details
Address
1010 W Columbia St
City
Farmington
State
Missouri
Zip
63640-2902
Phone Number
573-218-6792
Fax Number
573-218-6703
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
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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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63640-2902
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