Active NPI
Moniteau County SB 40 Board
- Case Management Agency
- California, MO
National Provider Identifier
1881995322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- STACI HARRISON
- Legal business name
- MONITEAU COUNTY SB 40 BOARD
- Practice address
- 1509 Industrial Park Dr
California, MO 65018-1883 - Phone
- (573) 796-6131
- Fax
- (573) 796-2609
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Staci Aaron Harrison
- Title
- Executive Director
- Phone
- (573) 796-6131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | STACI HARRISON | MO | Primary |
Addresses
Primary practice location
1509 Industrial Park Dr
California, MO 65018-1883
Mailing address
1509 Industrial Park Dr
California, MO 65018-1883
Phone (573) 796-6131
National Provider Directory
National Provider Directory- Tax ID family
- Moniteau County Senate Bill 40 Board
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- California, MO
- NPI 1730333600
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- California, MO
- NPI 1730333931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290124800000",
"number": "1881995322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 INDUSTRIAL PARK DR",
"city": "CALIFORNIA",
"state": "MO",
"postal_code": "650181883",
"telephone_number": "573-796-6131",
"fax_number": "573-796-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 INDUSTRIAL PARK DR",
"city": "CALIFORNIA",
"state": "MO",
"postal_code": "650181883",
"telephone_number": "573-796-6131",
"fax_number": "573-796-2609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONITEAU COUNTY SB 40 BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-19",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "STACI",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "573-796-6131",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MO",
"license": "STACI HARRISON",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in California, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.