Active NPI
Central Missouri Subcontracting Enterprises
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Columbia, MO
National Provider Identifier
1043400344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- CENTRAL MISSOURI SUBCONTRACTING ENTERPRISES
- Practice address
- 4040 S. Beafield Rd
Columbia, MO 65201 - Phone
- (573) 442-6935
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Allen Stuart
- Title
- Office Manager
- Phone
- (573) 442-6935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO | Primary |
Addresses
Primary practice location
4040 S. Beafield Rd
Columbia, MO 65201
Mailing address
PO Box 10147
Columbia, MO 65205-4002
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1043400344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10147",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652054002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S. BEAFIELD RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-442-6935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL MISSOURI SUBCONTRACTING ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "STUART",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "573-442-6935"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
- Central Missouri Dermatology Assoc
- Central Missouri Dermatology Associates, LLP
- Central Missouri Nephrology Associates,LLC
- Central Missouri Physical Therapy LLC
- Central Missouri Physical Therapy LLC
- Central Missouri Surgery LLC
- Jordan Cera, MA, LMFT
- Erin Suzanne Ramsay Cerneka
- Aaron Matthew Cervantes, PA-S
- Juan Cervantes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.