NPIMap

Organization Active NPI

St. Francois County Board for the Developmentally Disabled

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Farmington, MO
National Provider Identifier
1528184413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ST. FRANCOIS COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED
Practice address
2068 N Washington St
Farmington, MO 63640-7607
Phone
(573) 756-0595
Fax
(573) 756-8150
NPI assigned
Mar 22, 2007
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
Mr. Irvine Rudasill
Title
Executive Director
Phone
(573) 756-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MO Primary

Addresses

Primary practice location

2068 N Washington St
Farmington, MO 63640-7607

Mailing address

2068 N Washington St
Farmington, MO 63640-7607
Phone (573) 756-0595

National Provider Directory

National Provider Directory
Tax ID family
St Francois County Board for the Developmentally Disabled3 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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528184413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 N WASHINGTON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407607",
            "telephone_number": "573-756-0595",
            "fax_number": "573-756-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 N WASHINGTON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407607",
            "telephone_number": "573-756-0595",
            "fax_number": "573-756-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCOIS COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDASILL",
        "authorized_official_first_name": "IRVINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-756-0595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, 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.