LINCOLN COUNTY HEALTH DEPARTMENT NPI 1659366417

NPI Information

NPI: 1659366417
Provider Name: LINCOLN COUNTY HEALTH DEPARTMENT
Classification: Registered Nurse - 163WC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 26D0441347

Address:
5 HEALTH DEPARTMENT DR
TROY, MO
ZIP 63379
Phone: (636) 528-6117
Get Directions

LINCOLN COUNTY HEALTH DEPARTMENT is a community health registered nurse in Troy, MO. LINCOLN COUNTY HEALTH DEPARTMENT NPI is 1659366417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 HEALTH DEPARTMENT DR
TROY, MO
ZIP 63379-551
Phone: (636) 528-6117
Fax: (636) 528-8629

The provider's authorized official is Brett Siefert .
The authorized official title is Administrator and has the following contact phone number (636) 528-6117.

The CLIA number assigned to this NPI record is 26D0441347 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 10/11/2012.

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
1	163WC1500X	Registered Nurse	Community Health	053723	MISSOURI	Yes

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
1	511575201	MEDICAID	MISSOURI
2	436002035LIN	MEDICARE UPIN	MISSOURI
3	000045158	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE PART B

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: 4/28/2024

NPI Synchronization or Removal

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