St Clair County Health Center

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

96-21 Issued in MO

Legal business name

ST CLAIR COUNTY HEALTH CENTER

Doing business as

Osceola Public Health

Practice address

530 Arduser Dr
Osceola, MO 64776-6284

Phone

(417) 646-8157

Fax

(417) 646-8159

NPI assigned

May 10, 2006

Last updated

Jun 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Mary Stephan

Title

Cfo/Administrator

Phone

(417) 646-8157

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OSCEOLA PUBLIC HEALTH Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1013966654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ARDUSER DR",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766284",
            "telephone_number": "417-646-8157",
            "fax_number": "417-646-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ARDUSER DR",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766284",
            "telephone_number": "417-646-8157",
            "fax_number": "417-646-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "417-646-8157"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MO",
            "license": "96-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511936601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCEOLA PUBLIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Lynn Pearey, MSN, APRN, FNP-BC
• Brooke E Rains
• Roscoe C-1 School
• Kaushal Shah
• Lana Sheldon, OTR/L
• St Clair County Health Center (St Clair County Home Health)
• St Clair County Health Center (Osceola Rural Health)
• St. Clair County Hospital District #1 (Sac-Osage Hospital Ambulance Service)
• St. Clair County Hospital District #1 (Sac-Osage Hospital)
• St. Clair County Hospital District #1 (Sac-Osage Hospital)

• State or Local Public Health Clinic/Center in Osceola, MO
• Providers in Osceola, MO by specialty
• State or Local Public Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.