Provider Demographics
NPI:1558480863
Name:GINTHER & MAGEE INC
Entity Type:Organization
Organization Name:GINTHER & MAGEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GINTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-783-0115
Mailing Address - Street 1:1013 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:STANBERRY
Mailing Address - State:MO
Mailing Address - Zip Code:64489-1425
Mailing Address - Country:US
Mailing Address - Phone:660-783-0115
Mailing Address - Fax:
Practice Address - Street 1:1013 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:STANBERRY
Practice Address - State:MO
Practice Address - Zip Code:64489-1425
Practice Address - Country:US
Practice Address - Phone:660-783-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO859669400Medicaid