| Mosaic Behavioral Health - Maryville | |
|
2016 S Main St Maryville MO 64468-2655 | |
| (660) 562-2600 | |
| (660) 562-7943 |
| Full Name | Mosaic Behavioral Health - Maryville |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2016 S Main St, Maryville, Missouri |
| Authorized Official Name and Position | Dwight R Carvell (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 8162730473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Behavioral Health - Maryville 2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2600 | Mosaic Behavioral Health - Maryville 2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2600 |
| NPI Number | 1477027803 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 3678813896 |
|---|---|
| Medicare Enrollment ID | O20190405001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477027803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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