Curators of the University of Missouri
Organization Active NPI Chronic Disease Hospital · Mount Vernon, MO
NPI 1972597219 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1972597219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chronic Disease Hospital 281P00000X
- Legal business name
- CURATORS OF THE UNIVERSITY OF MISSOURI
- Practice address
- 600 N Main St
Mount Vernon, MO 65712-1004 - Phone
- (417) 461-5216
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Mitchell L. Wasden
- Title
- Ceo/Coo
- Phone
- (573) 884-8738
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | Yes |
Addresses
Primary practice location
600 N Main St
Mount Vernon, MO 65712-1004
Mailing address
121 Unviversity Hall
Columbia, MO 65211-0001
Phone (573) 884-2640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010156107 | Medicaid | MO |
Other names
- Missouri Rehabilitation Center
NPI Registry JSON
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1972597219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 UNVIVERSITY HALL",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652110001",
"telephone_number": "573-884-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N MAIN ST",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657121004",
"telephone_number": "417-461-5216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURATORS OF THE UNIVERSITY OF MISSOURI",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "WASDEN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO/COO",
"authorized_official_telephone_number": "573-884-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010156107",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Missouri Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, MO
- Community Residence, Inc.
- Community Residence, Inc.
- Brittney Conway
- Cox-Monett Hospital Inc
- Monica Whitney Cunningham
- Curators University of Mo
- Derek Curtis
- Sabrina A Davis
- Elizabeth Evalyn Dean
- Robert J Dieckhoff
All providers in Mount Vernon, MO · Chronic Disease Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.