NPIMap

Organization Active NPI

Pike County Agency for Developmental Disabilities

  • Case Management Agency
  • Bowling Green, MO
National Provider Identifier
1376610667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PIKE COUNTY AGENCY FOR DEVELOPMENTAL DISABILITIES
Practice address
900 Independence Dr
Bowling Green, MO 63334-2440
Phone
(573) 324-5493
Fax
(573) 324-6391
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Betsy Barnes, M.A.
Title
Executive Director
Phone
(573) 324-5493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

900 Independence Dr
Bowling Green, MO 63334-2440

Mailing address

900 Independence Dr
Bowling Green, MO 63334-2440
Phone (573) 324-5493

National Provider Directory

National Provider Directory
Tax ID family
Pike County Agency for Developmental Disabilities3 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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376610667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INDEPENDENCE DR",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342440",
            "telephone_number": "573-324-5493",
            "fax_number": "573-324-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDEPENDENCE DR",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342440",
            "telephone_number": "573-324-5493",
            "fax_number": "573-324-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY AGENCY FOR DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-324-5493",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, 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.