Mary V Hutchison

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

032248 Issued in MO

Legal business name

MARY V HUTCHISON

Practice address

15750 County Road
Saint James, MO 65559-8211

Phone

(573) 265-8250

Fax

(573) 265-8250

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mary V Hutchison

Title

Administrator

Phone

(573) 265-8250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Valley Home Doing business as

Tax ID family

Country Valley Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mary V. Hutchison

  • Assisted Living Facility (Mental Illness)
  • Saint James, MO
  • NPI 1407990260
  NPD tax ID

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1952444580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 COUNTY ROAD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598211",
            "telephone_number": "573-265-8250",
            "fax_number": "573-265-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 COUNTY ROAD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598211",
            "telephone_number": "573-265-8250",
            "fax_number": "573-265-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY V HUTCHISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-265-8250"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "032248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856794003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Valley Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rikki Lauren Lee-Perales, LMSW
• Tiffany Lenger, LPC
• Lester E Cox Medical Centers
• Marie Elizabeth Manion, MA, PLPC
• Jesus Martinez, LCSW
• Mary V. Hutchison
• Gregory V. Maynard, D.O.
• Megan McBride, FNP
• Beverly McKee, LCSW
• Debby L. McWhorter, LPC

• All providers in Saint James, MO
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.