Active NPI
State of Missouri
Doing business as Albany Regional Center
- Case Management Agency
- Albany, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- EXEMPT
- Legal business name
- STATE OF MISSOURI
- Doing business as
- Albany Regional Center
- Practice address
- 809 N 13TH St
Albany, MO 64402-2035 - Phone
- (660) 726-5246
- Fax
- (660) 726-5165
- NPI assigned
- Nov 6, 2006
- Last updated
- Oct 27, 2020
- Organization subpart
- Yes
- Parent organization
- STATE OF MISSOURI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Molly Jane Boeckmann
- Title
- Director of Administrative Services
- Phone
- (573) 751-4055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | EXEMPT | MO | Primary |
Addresses
Primary practice location
809 N 13TH St
Albany, MO 64402-2035
Mailing address
1706 E Elm St
Jefferson City, MO 65101-4130
Phone (573) 751-3398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151792405 | Medicaid | MO |
Other names 1
- Albany Regional Center
National Provider Directory
National Provider Directory- Tax ID family
- Missouri Tuberculosis Lab
- Part of
- Missouri Tuberculosis Lab
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba St Louis Forensic Treatment Center
- Psychiatric Hospital
- Saint Louis, MO
- NPI 1578518239
-
dba Kirksville Regional Center
- Developmentally Disabled Services Day Training Agency
- Kirksville, MO
- NPI 1578623609
-
dba Southeast Missouri Residential Services-Sikeston
- Intellectual Disabilities Intermediate Care Facility
- Sikeston, MO
- NPI 1598844029
-
dba Southeast Missouri Residential Services ISL
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Poplar Bluff, MO
- NPI 1598906372
-
dba Center for Behavioral Health
- Case Management Agency
- Kansas City, MO
- NPI 1609087584
-
dba Paseo Clinic
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1609954809
-
dba Metropolitan SL PC Pharmcy
- Long Term Care Pharmacy
- Saint Louis, MO
- NPI 1619016862
-
dba Southeast Missouri Mental Health Center Pharmacy
- Institutional Pharmacy
- Farmington, MO
- NPI 1669511093
-
dba Southeast Missouri Mental Health Center
- Case Management Agency
- Farmington, MO
- NPI 1669683439
-
dba Higginsville Habilitation Center
- Intellectual Disabilities Intermediate Care Facility
- Higginsville, MO
- NPI 1689745010
-
dba St Louis Regional Center
- Developmentally Disabled Services Day Training Agency
- Saint Louis, MO
- NPI 1710053780
Locations
809 N 13th St
Albany, MO 64402
Phone (660) 240-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1710056759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 E ELM ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651014130",
"telephone_number": "573-751-3398",
"fax_number": "573-526-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N 13TH ST",
"city": "ALBANY",
"state": "MO",
"postal_code": "644022035",
"telephone_number": "660-726-5246",
"fax_number": "660-726-5165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF MISSOURI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF MISSOURI",
"enumeration_date": "2006-11-06",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "BOECKMANN",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "573-751-4055"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MO",
"license": "EXEMPT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151792405",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Albany Regional Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Albany Regional Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.