HIGGINSVILLE HABILITATION CENTER – NPI #1407803851
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

HIGGINSVILLE HABILITATION CENTER is a provider located in HIGGINSVILLE, MO. NPPES has assigned the NPI number 1407803851 to HIGGINSVILLE HABILITATION CENTER on May 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HIGGINSVILLE HABILITATION CENTER” is a dba name, the actual legal business name for this organization is STATE OF MISSOURI. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Oct 27, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HIGGINSVILLE HABILITATION CENTER below.

NPI Profile for
STATE OF MISSOURI

NPI Number
1407803851
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE OF MISSOURI
Doing Business As (dba): HIGGINSVILLE HABILITATION CENTER
Primary location
100 WEST 1ST ST
HIGGINSVILLE, MO 64037
Phone: (660) 584-2142 Fax: (660) 584-6244
Mailing address
1706 E ELM ST
JEFFERSON CITY, MO 65101-4130
Phone: (573) 751-3398 Fax: (573) 526-4560
Organization Subpart
Yes - HIGGINSVILLE HABILITATION CENTER is subpart of another organization.
Authorized Official
MOLLY BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Updated
Certification Date
Oct 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HIGGINSVILLE HABILITATION CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO501499701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.