STODDARD COUNTY HEALTH CENTER NPI 1619957313

NPI Information

NPI: 1619957313
Provider Name: STODDARD COUNTY HEALTH CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 26D0691864

Address:
1001 HWY 25 N
BLOOMFIELD, MO
ZIP 63825
Phone: (573) 568-4593
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STODDARD COUNTY HEALTH CENTER is a public health or welfare in Bloomfield, MO. STODDARD COUNTY HEALTH CENTER NPI is 1619957313. The provider is registered as an organization entity type.

The provider's business location address is:

1001 HWY 25 N
BLOOMFIELD, MO
ZIP 63825-277
Phone: (573) 568-4593
Fax: (573) 568-4736

The provider's authorized official is Rhonda Jean Shepard .
The authorized official title is Office Assistant and has the following contact phone number (573) 568-4593.

The CLIA number assigned to this NPI record is 26D0691864 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 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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