BOLLINGER COUNTY HEALTH CENTER NPI 1003881384

NPI Information

  • NPI: 1003881384
  • Provider Name: BOLLINGER COUNTY HEALTH CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 26D0667076
  • Address: 107 HWY 51 N
    MARBLE HILL, MO
    ZIP 63764
  • Phone: (573) 238-2817

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NPI Details

BOLLINGER COUNTY HEALTH CENTER is a clinic center in Marble Hill, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BOLLINGER COUNTY HEALTH CENTER NPI is 1003881384. The provider is registered as an organization entity type.

The provider's business location address is:

107 HWY 51 N
MARBLE HILL, MO
ZIP 63764-409
Phone: (573) 238-2817
Fax: (573) 238-3085

The provider's authorized official is Juanita Welker .
The authorized official title is Administrator and has the following contact phone number (573) 238-2817.

The CLIA number assigned to this NPI record is 26D0667076 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 11/19/2012.

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
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000045080MEDICARE ID-TYPE UNSPECIFIEDMISSOURIGROUP NUMBER
2510903701MEDICAIDMISSOURI

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: 11/21/2025

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