| Missouri Psychiatric Center | |
|
1 Hospital Dr Columbia MO 65212 | |
| (573) 882-4141 | |
| Not Available |
| Full Name | Missouri Psychiatric Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Authorized Official Name and Position | Frederic A. Ransom (CEO) |
| Authorized Official Contact | 5738840054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Psychiatric Center One Hospital Drive Dc026.00 Columbia MO 65212-0001 Ph: (573) 884-0941 | Missouri Psychiatric Center 1 Hospital Dr Columbia MO 65212 Ph: (573) 882-4141 |
| NPI Number | 1598993503 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 6800704560 |
|---|---|
| Medicare Enrollment ID | O20100317000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598993503 | NPI | - | NPPES |
| 010565406 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | EXEMPT (Missouri) | Primary |
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