NPIMap

Organization Active NPI

Boys & Girls Town of Missouri

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Springfield, MO
National Provider Identifier
1720157803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
2001021788 Issued in MO
Legal business name
BOYS & GIRLS TOWN OF MISSOURI
Practice address
1212 W Lombard St
Springfield, MO 65806-2720
Phone
(417) 865-1646
Fax
(417) 866-1483
NPI assigned
Nov 6, 2006
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
Anne Tucker
Title
Resident Director
Phone
(417) 865-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2001021788 MO Primary

Addresses

Primary practice location

1212 W Lombard St
Springfield, MO 65806-2720

Mailing address

4696 N Farm Road 129
Springfield, MO 65803-6229
Phone (417) 425-6273

National Provider Directory

National Provider Directory
Tax ID family
Great Circle14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

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": "1598054400000",
    "number": "1720157803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 N FARM ROAD 129",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658036229",
            "telephone_number": "417-425-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W LOMBARD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062720",
            "telephone_number": "417-865-1646",
            "fax_number": "417-866-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS & GIRLS TOWN OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "RESIDENT DIRECTOR",
        "authorized_official_telephone_number": "417-865-1646"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "2001021788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.