NPI 1104879444

State of Missouri

Organisation Psychiatric Hospital Saint Joseph, MO

Practice location

Address: 3505 Frederick Ave, Saint Joseph, MO 64506-2914
Phone: (816) 387-2300
Fax: (816) 387-2329
Mailing address: PO Box 687, Jefferson City, MO 65102-0687

Authorised official

Name: Molly Jane Boeckmann
Title: Director of Administrative Services
Phone: (573) 751-4055

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence EXEMPT (MO)

Other Psychiatric Hospital providers in Missouri →

Registry record

NPI: 1104879444
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.