IP RESERVE (NPI# 1649892779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649892779 |
| Entity Type | Organization |
| Organization Name | IP RESERVE |
| Practice Address |
21332 Midway Ave Gallatin MO 64640-6314 |
| Mailing Address |
21708 Nickel Ave Gallatin MO 64640-6369 |
| Practice Telephone | 8016399530 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | COLIN FORBES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8558221400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Inner Peace Reserve | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529041 | Ip Reserve | Substance Abuse Rehabilitation Facility | 21708 Nickel Ave, Gallatin, MO 64640-6369 | 2020-05-12 |
| Street Address |
21332 MIDWAY AVE |
| City | GALLATIN |
| State | MO |
| Zip Code | 64640-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659463982 | Karen Joyce Coleman | Family Medicine | 1101 Weber Rd Suite 303, Farmington, MO 64640 | 2006-09-28 |
| 1902914682 | Stanley Earl Humphrey | Dentist | 307 S Main, Gallatin, MO 64640 | 2006-08-25 |
| 1982760179 | Community Ambulance District | Emergency Medical Technician, Paramedic | 204 E Corrine St, Gallatin, MO 64640-1006 | 2006-12-29 |
| 1013323807 | Daviess County Board for The Developmentally Disabled | Case Management | 109 E Jackson St, Gallatin, MO 64640-1147 | 2014-07-01 |
| 1083819239 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 212 N Main St, Gallatin, MO 64640-1150 | 2007-06-18 |
| 1528073053 | D H Davis Drug Co Inc | Pharmacy | 103 N Main St, Gallatin, MO 64640-1151 | 2006-07-31 |
| 1760415988 | Orourke Wellness Center PC | Chiropractor | 122 N Market St, Gallatin, MO 64640-1156 | 2006-07-09 |
| 1447334016 | Cindy Michelle O'rourke | Massage Therapist | 122 N Market St, Gallatin, MO 64640-1156 | 2006-10-24 |
| 1972583094 | Larry J Dickinson | Family Medicine | 100 E Johnson St, Gallatin, MO 64640-1338 | 2006-01-17 |
| 1821358789 | Jacob Earl Humphrey | Dentist | 307 S Main St, Gallatin, MO 64640-1339 | 2012-05-24 |
| Find all providers in zip 64640 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174995930 | Maxcia Lizarraga | Community/Behavioral Health | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799360 | Alternative Interventions, Inc. | Community/Behavioral Health | 500 Nw Plaza Dr Ste 500, Saint Ann, MO 63074-2220 | 2020-10-26 |
| 1679171177 | Preferred Path LLC | Community/Behavioral Health | 1619 Summer Run Dr Unit 23, Florissant, MO 63033-6440 | 2020-10-15 |
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1497399414 | Good Vibes Counseling Services | Community/Behavioral Health | 2002 Madison 417, Fredericktown, MO 63645-7002 | 2019-11-01 |
| 1528601614 | Worryfree Enterprises LLC | Community/Behavioral Health | 14491 Soho Dr, Florissant, MO 63034-2651 | 2019-10-22 |
| 1740831460 | Preferred Family Health Care, Inc | Community/Behavioral Health | 1625 Gratz Brown St, Moberly, MO 65270-1994 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.