Active NPI
Audrain County Health Center
Doing business as Audrain County Health Department Home Health and Hospice
- Home Health Agency
- Mexico, MO
National Provider Identifier
1023009354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 739-2
- Legal business name
- AUDRAIN COUNTY HEALTH CENTER
- Doing business as
- Audrain County Health Department Home Health and Hospice
- Practice address
- 1130 S Elmwood
Box 957
Mexico, MO 65265-0957 - Phone
- (573) 581-1332
- Fax
- (573) 581-6652
- NPI assigned
- Nov 4, 2005
- Last updated
- Dec 5, 2013
- 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
- Dr. Patricia Burke, M.D.
- Title
- Board Chairperson
- Phone
- (573) 581-1332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 739-2 | MO | Primary |
Addresses
Primary practice location
1130 S Elmwood
Box 957
Mexico, MO 65265-0957
Mailing address
1130 S Elmwood
P.O. Box 957
Mexico, MO 65265-0957
Phone (573) 581-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580563906 | Medicaid | MO |
Other names 1
- Audrain County Health Department Home Health and Hospice
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Audrain County Health Deptartment
- Public Health or Welfare Agency
- Mexico, MO
- NPI 1023099439
Member Of
Locations
1130 S Elmwood Dr
#957
Mexico, MO 65265
Phone (573) 581-1332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386201600000",
"number": "1023009354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S ELMWOOD",
"address_2": "P.O. BOX 957",
"city": "MEXICO",
"state": "MO",
"postal_code": "652650957",
"telephone_number": "573-581-1332",
"fax_number": "573-581-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 S ELMWOOD",
"address_2": "BOX 957",
"city": "MEXICO",
"state": "MO",
"postal_code": "652650957",
"telephone_number": "573-581-1332",
"fax_number": "573-581-6652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDRAIN COUNTY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2013-12-05",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "BOARD CHAIRPERSON",
"authorized_official_telephone_number": "573-581-1332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "739-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "580563906",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Audrain County Health Department Home Health and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mexico, MO
- Robin Allen, FNP-C
- Allied Medical Systems Inc
- Ashley Danielle Arens, FNP
- Audrain Ambulance District
- Audrain Ambulance District
- Audrain County Health Center (Audrain County Health Deptartment)
- Audrain County Health Center (Audrain County Health Department Home Health and Hospice)
- Audrain Emergency Group LLC
- Audrain Handicapped Services
- Audrain Handicapped Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.