| Northwest Mo Psychiatric Rehabilitation Center | |
|
3505 Frederick Ave Saint Joseph MO 64506-2914 | |
| (816) 387-2300 | |
| (816) 387-2329 |
| Full Name | Northwest Mo Psychiatric Rehabilitation Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3505 Frederick Ave, Saint Joseph, Missouri |
| Authorized Official Name and Position | Molly Jane Boeckmann (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 5737514055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Mo Psychiatric Rehabilitation Center 1706 E Elm St Jefferson City MO 65101-4130 Ph: (573) 751-3398 | Northwest Mo Psychiatric Rehabilitation Center 3505 Frederick Ave Saint Joseph MO 64506-2914 Ph: (816) 387-2300 |
| NPI Number | 1386691657 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386691657 | NPI | - | NPPES |
| 500157706 | Medicaid | MO |
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