Organization
STATE OF MISSOURI
Active
Parent organization
STATE OF MISSOURI
Other names
Developmental Disabilities Behavior Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSOURI
Authorized official
MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(573) 751-4055
Entity
Organization
Contact information
Practice address
821 ADMIRAL BLVD, KANSAS CITY, MO 64106-1516
(816) 889-3400
(816) 889-3325
Mailing address
PO BOX 687, ATTN: REIMBURSEMENT SECTION, JEFFERSON CITY, MO 65102-0687
(573) 751-3395
(573) 526-4560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/06/2016
Last updated
10/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us