Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

State of Missouri

General Practice Physician in Saint Charles, MO · enumerated 2006 · authorized official Molly Boeckmann, Director of Administrative Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316991896

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Registry record

Entity type Organization (Type 2)

Legal business name State of Missouri

Other name <Unavail>

Parent organization State of Missouri

Practice address 22 Marr Ln, Saint Charles, MO, 63303

Phone (314) 340-6702

Fax (314) 340-6724

Enumeration date May 20, 2006

Last updated in NPPES Oct 20, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Molly Boeckmann

Title Director of Administrative Services

Phone (573) 751-4055

Other identifiers

Identifier	Type	State	Issuer
501500011	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is State of Missouri located?

The practice location on file with NPPES is in Saint Charles, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-20. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-20.