North Central Missouri Mental Health

Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Trenton, MO

NPI 1104953967 · NPPES record last updated Dec 18, 2020

Key facts

NPI
1104953967
Entity type
Organization (NPI type 2)
Primary specialty
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Legal business name
NORTH CENTRAL MISSOURI MENTAL HEALTH
Practice address
1601 E 28TH St
Trenton, MO 64683-1178
Phone
(660) 359-4487
Fax
(660) 359-4129
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Jeannie Anderson
Title
Insurance Billing Supervisor
Phone
(660) 359-4487

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
North Central Missouri Mental Health Center (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Yes

Addresses

Primary practice location

1601 E 28TH St
Trenton, MO 64683-1178

Mailing address

PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487

Other identifiers

IdentifierTypeStateIssuer
876176215MedicaidMO

Other providers in Trenton, MO

All providers in Trenton, MO · Adolescent and Children Mental Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.