Organization Active NPI

Nodaway County Health Center

  • Public Health or Welfare Agency
  • Maryville, MO
National Provider Identifier
1003001322
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Sep 10, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20080929000014 MO Part B Supplier - Mass Immunization (Roster Biller Only) 4385739994 Practice locations: Maryville, MO

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.