| Picture Hills Behavioral Medicine, Inc. | |
|
5652 Meadow Ct N Parkville MO 64152-6115 | |
| (816) 584-9082 | |
| (816) 584-9083 |
| Full Name | Picture Hills Behavioral Medicine, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5652 Meadow Ct N, Parkville, Missouri |
| Authorized Official Name and Position | Donald Wayne Hinton (PRESIDENT) |
| Authorized Official Contact | 8165849082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Picture Hills Behavioral Medicine, Inc. 5652 Meadow Ct N Parkville MO 64152-6115 Ph: (816) 584-9082 | Picture Hills Behavioral Medicine, Inc. 5652 Meadow Ct N Parkville MO 64152-6115 Ph: (816) 584-9082 |
| NPI Number | 1356413736 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 2264501410 |
|---|---|
| Medicare Enrollment ID | O20080514000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356413736 | NPI | - | NPPES |
| 506051002 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 104400 (Missouri) | Primary |
| Provider Name | Donald W Hinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083640494 PECOS PAC ID: 3476551425 Enrollment ID: I20061129000355 |
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