NPI 1578795472

Mission Missouri

Organisation Point of Service Sikeston, MO

Practice location

Address: 509 Ruth St, Sikeston, MO 63801-2763
Phone: (573) 481-0505
Fax: (573) 481-0518
Mailing address: PO Box 1858, Sikeston, MO 63801-1858

Authorised official

Name: Jane F Pfefferkorn
Title: Ceo
Phone: (573) 481-0505

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Missouri →

Registry record

NPI: 1578795472
Entity type: Organization
NPI issued: 12 Aug 2009
Record last updated: 12 Aug 2009

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.