COOPER COUNTY PUBLIC HEALTH CENTER NPI 1134329816

NPI Information

NPI: 1134329816
Provider Name: COOPER COUNTY PUBLIC HEALTH CENTER
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 26D0664112

Address:
17040 KLINTON DR
BOONVILLE, MO
ZIP 65233
Phone: (660) 882-2626
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COOPER COUNTY PUBLIC HEALTH CENTER is a public health and state or local clinic center in Boonville, MO. COOPER COUNTY PUBLIC HEALTH CENTER NPI is 1134329816. The provider is registered as an organization entity type.

The provider's business location address is:

17040 KLINTON DR
BOONVILLE, MO
ZIP 65233-542
Phone: (660) 882-2626
Fax: (660) 882-2586

The provider's authorized official is Melanie Hutton .
The authorized official title is Administrator and has the following contact phone number (660) 882-2626.

The CLIA number assigned to this NPI record is 26D0664112 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2007 and was last updated on 11/2/2021.

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	261QP0905X	Clinic/Center	Public Health, State or Local			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

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