EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC (NPI# 1376164699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164699 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
896 S Sturgeon St Montgomery City MO 63361-2716 |
| Mailing Address |
340 Kelley Pkwy Mexico MO 65265-3811 |
| Practice Telephone | 5735821234 |
| Practice Fax Number | 5735821212 |
| Mailing Telephone | 5735811196 |
| Mailing Fax Number | 5735811981 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | LINDA MARIE HOPKINS (CFO) |
| Authorized Official Telephone | 5735821234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293549 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 340 Kelley Parkway, Mexico, MO 65265-2719 | 2006-02-08 |
| 1801243639 | East Central Missouri Behavioral Health Services, Inc | Psychiatry & Neurology | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2016-05-23 |
| 1316319205 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2015-10-30 |
| 1104980267 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1457415515 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-21 |
| 1356404636 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-18 |
| Street Address |
896 S STURGEON ST |
| City | MONTGOMERY CITY |
| State | MO |
| Zip Code | 63361-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508101338 | Charles Bukovac | Dentist | 215 South Sturgeon St, Montgomery City, MO 63361 | 2012-12-05 |
| 1265553820 | Thomas Robert Nichols | Dentist | 215 S Sturgeon, Suite C, Montgomery City, MO 63361 | 2007-04-02 |
| 1912999251 | Diana L Gibbs | Nurse Practitioner | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-08-22 |
| 1467001248 | Preferred Family Healthcare Inc | Community/Behavioral Health | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2019-09-05 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| 1902892375 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-09-21 |
| 1932114584 | Montgomery County Ambulance District | Ambulance | 911 Benton St, Montgomery City, MO 63361-1318 | 2006-07-30 |
| 1841346269 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2007-01-26 |
| 1255972196 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2019-10-02 |
| 1366940280 | Elizabeth A Holtman | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2018-01-25 |
| Find all providers in zip 63361 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY CITY |
| Zip Code | 63361 |
Please comment or provide details below to improve the information on EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.