Organization Active NPI

Preferred Alternatives of Missouri, Inc

  • Developmental Disabilities Clinic/Center
  • St. Charles, MO
National Provider Identifier
1295069185
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PREFERRED ALTERNATIVES OF MISSOURI, INC
Practice address
1060 Country Club Rd
St. Charles, MO 63303-3373
Phone
(636) 940-6900
Fax
(636) 940-6940
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mr. James Russell Wilson Jr.
Title
President
Phone
(910) 391-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1060 Country Club Rd
St. Charles, MO 63303-3373

Mailing address

P.O. Box 696
Dunn, NC 28335
Phone (910) 391-6996

National Provider Directory

National Provider Directory

Locations

1060 Country Club Rd
Saint Charles, MO 63303
Phone (314) 795-8400

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1295069185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 696",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28335",
            "telephone_number": "910-391-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 COUNTRY CLUB RD",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633033373",
            "telephone_number": "636-940-6900",
            "fax_number": "636-940-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ALTERNATIVES OF MISSOURI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-391-6996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.