MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC. NPI 1023292802

Case Management in Fredericktown, MO

NPI 1023292802 Organization Case Management

About MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.

Madison County Council For Developmentally Disabled, Inc. is a provider established in Fredericktown, Missouri specializing in case management. The NPI number of Madison County Council For Developmentally Disabled, Inc. is 1023292802 and was assigned on December 2007. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Clyde Avery Clifton (Executive Director)

NPI

1023292802

Provider NameMADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
Provider Location Address610 S CHAMBER DR FREDERICKTOWN, MO 63645
Provider Mailing AddressPO BOX 325 FREDERICKTOWN, MO 63645
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-28-2007
Last Update Date12-28-2007


Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
License StateMO
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Business Address

MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
610 S CHAMBER DR
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 783-3770
Fax: (573) 783-5051

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Mailing Address

MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
PO BOX 325
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 756-8365
Fax: (573) 783-5051



Authorized Official

Authorized Official NameMR. CLYDE AVERY CLIFTON
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(573) 783-3770

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912227885MADISON COUNTY ADULT LEARNING CENTER
Organization
Day Training, Developmentally Disabled Services610 S CHAMBER DR
FREDERICKTOWN, MO 63645
(573) 783-3770
1043344229MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED
Organization
Day Training, Developmentally Disabled Services610 S CHAMBER DR
FREDERICKTOWN, MO 63645
(573) 783-3770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.