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CAMDEN COUNTY SENATE BILL 40 BOARD NPI 1548307713


NPI Information

NPI: 1548307713
Provider Name: CAMDEN COUNTY SENATE BILL 40 BOARD

Doing Business As: CAMDEN COUNTY DEVELOPMENTAL DISABILITY RESOURCES

Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
100 3RD STREET
CAMDENTON, MO
ZIP 65020
Phone: (573) 317-9233
Get Directions

CAMDEN COUNTY SENATE BILL 40 BOARD is a case management in Camdenton, MO. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. CAMDEN COUNTY SENATE BILL 40 BOARD NPI is 1548307713. The provider is registered as an organization entity type.
The provider Is Doing Business As Camden County Developmental Disability Resources.

The provider's business location address is:

100 3RD STREET
CAMDENTON, MO
ZIP 65020
Phone: (573) 317-9233
Fax: (573) 317-9332

The provider's authorized official is Boone Caleb Wagner .
The authorized official title is Executive Director and has the following contact phone number (573) 317-9233.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2251S00000XCommunity/Behavioral HealthNo
3251B00000XCase ManagementYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156248809MEDICAIDMISSOURI
2156234809MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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