Provider Demographics
NPI:1952443624
Name:UNIVERSITY OF MISSOURI
Entity Type:Organization
Organization Name:UNIVERSITY OF MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHENEWERK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-882-3757
Mailing Address - Street 1:PO BOX 7538
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7538
Mailing Address - Country:US
Mailing Address - Phone:573-882-3757
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MISSOURI-COLUMBIA
Practice Address - Street 2:310 PORTLAND AVE, SUITE 110
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65211-0001
Practice Address - Country:US
Practice Address - Phone:573-882-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001186174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty