SOUTHWEST MISSOURI PSYCHIATRIC REHABILITATION CENTER
NPI 1952356610
Psychiatric Hospital in El Dorado Springs, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1952356610. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Southwest Missouri Psychiatric Rehabilitation Center.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2006

1301 INDUSTRIAL PKWY E, EL DORADO SPRINGS, MO 64744(417) 876-1002(417) 876-1004 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 27, 2020, Aug 28, 2019 (2 updates tracked since 2019).

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About Southwest Missouri Psychiatric Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST MISSOURI PSYCHIATRIC REHABILITATION CENTER (NPI 1952356610) is a healthcare organization registered as a psychiatric hospital in El Dorado Springs, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1952356610

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameSTATE OF MISSOURI

Location Address1301 INDUSTRIAL PKWY EEl Dorado Springs, MO 64744-6263

Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560

Phone(417) 876-1002

Fax(417) 876-1004

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateMay 23, 2006

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1952356610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

1301 INDUSTRIAL PKWY E, El Dorado Springs, MO 64744

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Other Names 1

Doing Business AsSouthwest Missouri Psychiatric Rehabilitation Center

Other Identifiers 1

Medicaid021499900MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MISSOURI

Case Management