Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State of Missouri

Organization Case Management Agency · NPI 1063582708

State of Missouri is a Case Management Agency in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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Practice location Address checks out

2351 Kanell Blvd
Poplar Bluff, MO 63901-4035
Phone: (573) 840-9300
Fax: (573) 840-9311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence EXEMPT (MO)

Record details

NPI number1063582708
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Poplar Bluff Regional Center; Poplar Bluff Regional Center
NPI enumeratedNovember 9, 2006
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

Other providers in Poplar Bluff