Organization Active NPI

Pulaski County Board for the Handicapped

  • Case Management Agency
  • Waynesville, MO
National Provider Identifier
1720218126
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PULASKI COUNTY BOARD FOR THE HANDICAPPED
Practice address
301 Historic Route 66 East
Waynesville, MO 65583
Phone
(573) 528-6382
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Quentin Davis
Title
Chairman
Phone
(573) 433-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

301 Historic Route 66 East
Waynesville, MO 65583

Mailing address

PO Box 883
Saint Robert, MO 65584-0883

National Provider Directory

National Provider Directory

Locations

301 Historic 66 E
Waynesville, MO 65583
Phone (573) 528-6382

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1720218126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655840883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HISTORIC ROUTE 66 EAST",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "65583",
            "telephone_number": "573-528-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI COUNTY BOARD FOR THE HANDICAPPED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "573-433-9126"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.