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NPI Code Detail

MEDICARE: BURRELL, INC.

MEDICARE: BURRELL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851429559
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURRELL, INC.
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Provider Business Practice Location Address
First Line : 3401 BERRYWOOD DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8372
Country : US
Telephone Number : 573-777-8330
Fax Number : 573-777-8390
Authorized Official
Title or Position : VP MANAGED CARE
Name : AMANDA R CARTER
Credential :
Telephone Number : 417-761-5126
Provider Enumeration Date : 03/02/2007
Last Update Date : 03/13/2026

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