Provider Demographics
NPI:1376719310
Name:SIGMA HOUSE OF SPRINGFIELD, INC
Entity type:Organization
Organization Name:SIGMA HOUSE OF SPRINGFIELD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:TINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CASAC
Authorized Official - Phone:417-335-5946
Mailing Address - Street 1:360 RINEHART RD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-9193
Mailing Address - Country:US
Mailing Address - Phone:417-335-5946
Mailing Address - Fax:417-335-5978
Practice Address - Street 1:360 RINEHART RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9193
Practice Address - Country:US
Practice Address - Phone:417-335-5946
Practice Address - Fax:417-335-5978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGMA HOUSE OF SPRINGFIELD, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility