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Faith Tabernacle World Outreach Inc

Emotionally Disturbed Childrens' Residential Treatment Facility in Fredericktown, MO · enumerated 2007 · authorized official Deborah Booth, Clinical Director.

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

National Provider Identifier

1417070210

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Registry record

Entity type Organization (Type 2)
Legal business name Faith Tabernacle World Outreach Inc
Other name <Unavail>
Practice address 600 Sargent Dr, Fredericktown, MO, 63645
Phone (573) 783-4400
Fax (573) 783-4409
Enumeration date Apr 8, 2007
Last updated in NPPES Oct 15, 2025

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 001742092 (MO) Primary

Authorized official

Name Deborah Booth
Title Clinical Director
Phone (573) 783-4400

Other identifiers

Identifier Type State Issuer
490026705 Medicaid MO -
495888919 Medicaid MO -
495933814 Medicaid MO -
495968604 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.

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Frequently asked questions

What is the NPI number for Faith Tabernacle World Outreach Inc?
The NPI for Faith Tabernacle World Outreach Inc is 1417070210, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Faith Tabernacle World Outreach Inc?
NPPES lists Deborah Booth (Clinical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-15.