OrganizationActive
State of Missouri
NPI 1063582708 · Case Management Agency · Poplar Bluff, MO
State of Missouri is a Case Management Agency organization in Poplar Bluff, MO (NPI 1063582708).
Provider details
- NPI number
- 1063582708
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- State of Missouri
- Organization subpart
- Yes
- Authorized official
- Molly Boeckmann, Director of Administrative Services(573) 751-4055
- License
- EXEMPT (MO)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2351 Kanell Blvd
Poplar Bluff, MO 63901-4035
Phone: (573) 840-9300
Fax: (573) 840-9311
Approximate (ZIP-level) locationGet directions
Mailing address
1706 E Elm St
Jefferson City, MO 65101-4130
Other names (DBA / former)
- Doing business as
- Poplar Bluff Regional Center
- Doing business as
- Poplar Bluff Regional Center
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Frequently asked questions
- What is State of Missouri's NPI number?
- State of Missouri's National Provider Identifier (NPI) is 1063582708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Missouri?
- State of Missouri is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is State of Missouri located?
- State of Missouri's practice location on file with NPPES is 2351 Kanell Blvd, Poplar Bluff, MO 63901-4035.
- What is State of Missouri's phone number?
- The practice phone number listed in the NPPES registry for State of Missouri is (573) 840-9300.
- Who is the authorized official for State of Missouri?
- The authorized official listed on State of Missouri's NPPES record is Molly Boeckmann, Director of Administrative Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Missouri's NPI active?
- Yes — State of Missouri's NPI (1063582708) is active in the NPPES registry as of the last update on 2020-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.