Provider Demographics
NPI: | 1942400478 |
---|---|
Name: | CURATORS OF THE UNIVERSITY OF MISSOURI |
Entity type: | Organization |
Organization Name: | CURATORS OF THE UNIVERSITY OF MISSOURI |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | ROSS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 573-884-8738 |
Mailing Address - Street 1: | 215 UNIVERSITY HALL |
Mailing Address - Street 2: | |
Mailing Address - City: | COLUMBIA |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 65211-0001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 573-884-2640 |
Mailing Address - Fax: | |
Practice Address - Street 1: | ONE HOSPITAL DRIVE |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBIA |
Practice Address - State: | MO |
Practice Address - Zip Code: | 65212-0001 |
Practice Address - Country: | US |
Practice Address - Phone: | 573-882-4141 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-07-23 |
Last Update Date: | 2007-07-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MO | 260141 | Medicare PIN |