Provider Demographics
NPI:1720407505
Name:RAIN-CENTRAL MISSOURI, INC.
Entity Type:Organization
Organization Name:RAIN-CENTRAL MISSOURI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CALE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-875-8687
Mailing Address - Street 1:1123 WILKES BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-4774
Mailing Address - Country:US
Mailing Address - Phone:573-875-8687
Mailing Address - Fax:573-875-8659
Practice Address - Street 1:1123 WILKES BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-4774
Practice Address - Country:US
Practice Address - Phone:573-875-8687
Practice Address - Fax:573-875-8659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management