MERCER COUNTY HEALTH DEPARTMENT NPI 1053430561

NPI Information

NPI: 1053430561
Provider Name: MERCER COUNTY HEALTH DEPARTMENT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 26D0867138

Address:
305 W MAIN ST
PRINCETON, MO
ZIP 64673
Phone: (660) 748-3630
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MERCER COUNTY HEALTH DEPARTMENT is a public health or welfare in Princeton, MO. MERCER COUNTY HEALTH DEPARTMENT NPI is 1053430561. The provider is registered as an organization entity type.

The provider's business location address is:

305 W MAIN ST
PRINCETON, MO
ZIP 64673-133
Phone: (660) 748-3630
Fax: (660) 748-3634

The provider's authorized official is Phyllis Jane Johnson .
The authorized official title is Administrator and has the following contact phone number (660) 748-3630.

The CLIA number assigned to this NPI record is 26D0867138 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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