Provider Demographics
NPI:1881861888
Name:OSAGE COUNTY SPECIAL SERVICES
Entity Type:Organization
Organization Name:OSAGE COUNTY SPECIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:REICHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-897-2991
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:LINN
Mailing Address - State:MO
Mailing Address - Zip Code:65051-0319
Mailing Address - Country:US
Mailing Address - Phone:573-897-2991
Mailing Address - Fax:573-897-4760
Practice Address - Street 1:1006 E. JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LINN
Practice Address - State:MO
Practice Address - Zip Code:65051-9512
Practice Address - Country:US
Practice Address - Phone:573-897-2991
Practice Address - Fax:573-897-4760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS251B00000XMedicaid