NPIMap

Organization Active NPI

Callaway County Special Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fulton, MO
National Provider Identifier
1992932354
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
N00859770 Issued in MO
Legal business name
CALLAWAY COUNTY SPECIAL SERVICES
Practice address
911 S Business 54
Fulton, MO 65251-1406
Phone
(573) 642-1792
Fax
(573) 642-2415
NPI assigned
Jun 12, 2009
Last updated
Jun 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Mr. Charles E. Snow, M. S.
Title
Executive Director
Phone
(573) 642-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X N00859770 MO Primary

Addresses

Primary practice location

911 S Business 54
Fulton, MO 65251-1406

Mailing address

911 S Business 54
Fulton, MO 65251-1406
Phone (573) 642-1792

National Provider Directory

National Provider Directory
Tax ID family
Callaway County Special Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

911 S Business 54
Fulton, MO 65251
Phone (573) 642-1792

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1992932354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S BUSINESS 54",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511406",
            "telephone_number": "573-642-1792",
            "fax_number": "573-642-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S BUSINESS 54",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511406",
            "telephone_number": "573-642-1792",
            "fax_number": "573-642-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY COUNTY SPECIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-642-1792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "N00859770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.