Healthcare Provider Details

I. General information

NPI: 1083759203
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 CLARK HALL
COLUMBIA MO
65211-4200
US

IV. Provider business mailing address

225 UNIVERSITY HALL
COLUMBIA MO
65211-4200
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-7070
  • Fax: 573-884-4797
Mailing address:
  • Phone: 573-882-7070
  • Fax: 573-884-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number583
License Number StateMO

VIII. Authorized Official

Name: VICTOR ARNOLD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 573-882-1612