Organization 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
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
739-2 Issued in MO
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
580563906MedicaidMO

Other names 1

  • Audrain County Health Department Home Health and Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.