1861486151 NPI number — CURATORS OF THE UNIVERSITY OF MISSOURI

Table of content: (NPI 1861486151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861486151 NPI number — CURATORS OF THE UNIVERSITY OF MISSOURI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURATORS OF THE UNIVERSITY OF MISSOURI
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WOMEN'S AND CHILDREN'S HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861486151
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ONE HOSPITAL DRIVE
Provider Second Line Business Mailing Address:
DC026.00
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65212-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-884-0941
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 N KEENE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-875-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RANSOM
Authorized Official First Name:
FREDERIC
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
573-884-0054

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010420305 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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