NPIMap

Organization Active NPI

Madison County Council for Developmentally Disabled

  • Developmentally Disabled Services Day Training Agency
  • Fredericktown, MO
National Provider Identifier
1043344229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1603-9524 Issued in MO
Legal business name
MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED
Practice address
610 S Chamber Dr
Fredericktown, MO 63645-1742
Phone
(573) 783-3770
Fax
(573) 783-5051
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Lawler
Title
Executive Director
Phone
(573) 783-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1603-9524 MO Primary

Addresses

Primary practice location

610 S Chamber Dr
Fredericktown, MO 63645-1742

Mailing address

610 S Chamber Dr
Fredericktown, MO 63645-1742
Phone (573) 783-3770

National Provider Directory

National Provider Directory
Tax ID family
Madison County Adult Learning Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043344229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S CHAMBER DR",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451742",
            "telephone_number": "573-783-3770",
            "fax_number": "573-783-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S CHAMBER DR",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451742",
            "telephone_number": "573-783-3770",
            "fax_number": "573-783-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-783-3770"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "1603-9524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.