NPI:
1417469537
Provider Name:
KNOX COUNTY HEALTH DEPARTMENT
Doing Business As: KNOX COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
CLIA Number: 26D0441636
Address:
102 W MONTICELLO ST
EDINA, MO
ZIP 63537
Phone:
(660) 397-3396
Get Directions
KNOX COUNTY HEALTH DEPARTMENT is a public health and state or local clinic center in Edina, MO. KNOX COUNTY HEALTH DEPARTMENT NPI is 1417469537. The provider is registered as an organization entity type.
The provider Is Doing Business As Knox County Health Department Home Health Agency.
The provider's business location address is:
102 W MONTICELLO ST
EDINA, MO
ZIP 63537-150
Phone: (660) 397-3396
Fax: (660) 397-3579
The provider's authorized official is Lori R Moots-clair .
The authorized official title is Administrator and has the following contact phone number (660) 397-3396.
The CLIA number assigned to this NPI record is 26D0441636 - public health laboratories with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/30/2017 and was last updated on 7/22/2020.