Healthcare Provider Details

I. General information

NPI: 1285760124
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 BLUFF CREEK DR
COLUMBIA MO
65201-3554
US

IV. Provider business mailing address

225 UNIVERSITY HALL
COLUMBIA MO
65211-3020
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-2464
  • Fax: 573-884-1310
Mailing address:
  • Phone: 573-882-2464
  • Fax: 573-884-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number679
License Number StateMO

VIII. Authorized Official

Name: BOARD OF CURATORS UNIVERSITY OF MISSOURI
Title or Position: BOARD OF CURATORS
Credential:
Phone: 573-882-2705