Healthcare Provider Details

I. General information

NPI: 1861486151
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 N KEENE ST
COLUMBIA MO
65201
US

IV. Provider business mailing address

ONE HOSPITAL DRIVE DC026.00
COLUMBIA MO
65212-0001
US

V. Phone/Fax

Practice location:
  • Phone: 573-875-9000
  • Fax:
Mailing address:
  • Phone: 573-884-0941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERIC A. RANSOM
Title or Position: CEO
Credential:
Phone: 573-884-0054