Organization Name: | RAIN-CENTRAL MISSOURI, INC. |
NPI Number: | 1063785442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CALE CHRISTIAN MITCHELL (EXECUTIVE DIRECTOR) |
Mailing Address: | 1123 Wilkes Blvd Suite 250 Columbia |
State: | MO US |
Postal Code: | 652014774 |
Phone Number: | 5738758687 |
Fax Number: | 5738758659 |
NPI Enumeration Date: | 02/16/2012 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |