Active NPI
Nodaway County Health Center
- Public Health or Welfare Agency
- Maryville, MO
National Provider Identifier
1003001322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- NODAWAY COUNTY HEALTH CENTER
- Practice address
- 515 N Main St
Maryville, MO 64468-1610 - Phone
- (660) 562-2755
- Fax
- (660) 562-4995
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Della Rhoades
- Title
- Administrator
- Phone
- (660) 562-2755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
515 N Main St
Maryville, MO 64468-1610
Mailing address
515 N Main St
Maryville, MO 64468-1610
Phone (660) 562-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080929000014 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385739994 | Practice locations: Maryville, MO |
National Provider Directory
National Provider DirectoryLocations
2416 S Main St
Maryville, MO 64468
Phone (660) 562-2353
515 N Main St
Maryville, MO 64468
Phone (660) 562-2755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1003001322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644681610",
"telephone_number": "660-562-2755",
"fax_number": "660-562-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644681610",
"telephone_number": "660-562-2755",
"fax_number": "660-562-4995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NODAWAY COUNTY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "RHOADES",
"authorized_official_first_name": "DELLA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "660-562-2755",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
- Margaret Rose Nelson, MS, LPC, LCSW
- New Beginnings Counseling Group
- New Beginnings Counseling Group Inc.
- Nathan Eugene Noakes, LCSW
- Nodaway County Ambulance District
- Nodaway County Services for the Developmentally Disabled, Inc.
- Nodaway County Services for the Developmentally Disabled, Inc.
- Nodaway Healthcare LLC
- Nodaway Physician Services, LLC
- Northwest Chiropractic Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.