Mary V. Hutchison
Organization Active NPI Assisted Living Facility (Mental Illness) · Saint James, MO
NPI 1407990260 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1407990260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- License
- 032248 (MO)
- Legal business name
- MARY V. HUTCHISON
- Practice address
- 15750 County Road 2430
Saint James, MO 65559-8211 - Phone
- (573) 265-8250
- Fax
- (573) 265-8250
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mary V Hutchison
- Title
- Administrator
- Phone
- (573) 265-8250
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Country Valley Home
Locations
15750 County Road 2430
Saint James, MO 65559
Phone (573) 265-8250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | 032248 | MO | Yes |
Addresses
Primary practice location
15750 County Road 2430
Saint James, MO 65559-8211
Mailing address
15750 County Road 2430
Saint James, MO 65559-8211
Phone (573) 265-8250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266794007 | Medicaid | MO |
Other names
- Country Valley Home
Other providers in Saint James, MO
- Tiffany Lenger
- Lester E Cox Medical Centers
- Marie Elizabeth Manion
- Jesus Martinez
- Mary V Hutchison
- Gregory V. Maynard
- Megan McBride
- Beverly McKee
- Debby L. McWhorter
- Mercy Clinic Springfield Communities
All providers in Saint James, MO · Assisted Living Facility (Mental Illness) 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 16, 2008. 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.