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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010156107MedicaidMO

Other names

  • Missouri Rehabilitation Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2013.

{
    "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

All providers in Mount Vernon, MO · Chronic Disease Hospital in Missouri

Sources for this page

Verify at the official NPI Registry.