State of Missouri
State of Missouri is a Family Medicine Physician in Higginsville, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
100 W 1st StHigginsville, MO 64037
Phone: (660) 584-2142
Fax: (660) 584-6244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1407803851 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Higginsville Habilitation Center; Higginsville Habilitation Center |
| NPI enumerated | May 30, 2006 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Higginsville
-
Mrs. Coleen Renea Davis, MD
3401 Pine St, Higginsville, MO 64037-1877 · (660) 584-2192
-
Dr. David V Pulliam, DO
1200 W 22nd St, Higginsville, MO 64037-1420 · (660) 747-7751
-
Dr. Matthew David Rhadans, MD
3401 Pine St, Higginsville, MO 64037-1877 · (660) 584-2192
-
Western Missouri Medical Center
1200 W 22nd St, Higginsville, MO 64037 · (660) 584-7751
-
Western Missouri Medical Center
1200 W 22nd St, Higginsville, MO 64037-1420 · (660) 262-7475