Callaway County Special Services
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fulton, MO
NPI 1992932354 · NPPES record last updated Jun 12, 2009
Key facts
- NPI
- 1992932354
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- N00859770 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles E. Snow, M. S.
- Title
- Executive Director
- Phone
- (573) 642-1792
Subparts reporting this organization as parent 3
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Callaway County Special Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | N00859770 | MO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 853013803 | Medicaid | MO | |
| 853563906 | Medicaid | MO | |
| 852944305 | Medicaid | MO |
Other providers in Fulton, MO
- Callaway Chiropractic & Acupuncture Center, Inc.
- Callaway Counseling LLC
- Callaway County Ambulance District
- Callaway County Special Services
- Callaway County Special Services
- Callaway Emergency Group LLC
- Callaway Emergency Physicians, LLC
- Callaway Family Dental LLC
- Callaway Internal Medicine Group
- Callaway Internal Medicine Group
All providers in Fulton, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2009. 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.