Ray County Board of Services
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, MO
NPI 1164615530 · NPPES record last updated Jun 22, 2012
Key facts
- NPI
- 1164615530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- RAY COUNTY BOARD OF SERVICES
- Practice address
- 200 N College St
Richmond, MO 64085-1604 - Phone
- (816) 470-7140
- Fax
- (816) 776-3383
- NPI assigned
- Aug 20, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- RAY COUNTY BOARD OF SERVICES
Authorized official
- Name
- Mr. Robert L. Bond, ED.S
- Title
- Executive Director
- Phone
- (816) 470-7140
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Ray County Board of Services
- Part of
- Ray County Board of Services
Locations
200 N College St
Richmond, MO 64085
Phone (816) 470-7140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
200 N College St
Richmond, MO 64085-1604
Mailing address
200 N College St
Richmond, MO 64085-1604
Phone (816) 470-7140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856259601 | Medicaid | MO | |
| 1386782696 | Medicaid | MO |
Other names
- Ray County SB 40 TCM
Other providers in Richmond, MO
- Thomas Phillips Jr.
- Caitlin Priest
- PRN Services LLC
- Lisa Marie Rau
- Ray County Ambulance District
- Ray County Community Services Inc.
- Ray County Health Department
- Ray County Memorial Hospital
- Ray County Memorial Hospital
- Ray County Transportation, Inc.
All providers in Richmond, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.