BOYS AND GIRLS TOWN MISSOURI – NPI #1013086842
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BOYS AND GIRLS TOWN MISSOURI is a residential treatment facility located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1013086842 to BOYS AND GIRLS TOWN MISSOURI on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 17 years ago on Oct 23, 2009. 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 BOYS AND GIRLS TOWN MISSOURI below.

NPI Profile for
BOYS AND GIRLS TOWN MISSOURI

NPI Number
1013086842
Enumeration Date

(more than 19 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
BOYS AND GIRLS TOWN MISSOURI
Primary location
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone: (417) 865-1646 Fax: (417) 866-1483
Mailing address
412 CARDINAL CT
NIXA, MO 65714-8848
Phone: (417) 725-8684 Fax:
Organization Subpart
No
Authorized Official
GREG SHANK
THERAPIST
Phone: (417) 865-1646
Updated
Identifiers

Identifiers for BOYS AND GIRLS TOWN MISSOURI

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
MEDICAIDMO494901309
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
MO 2002002751

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.