Audrain County Health Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

AUDRAIN COUNTY HEALTH CENTER

Doing business as

Audrain County Health Deptartment

Practice address

1130 S Elmwood Drive
Mexico, MO 65265-0957

Phone

(573) 581-1332

Fax

(573) 581-6652

NPI assigned

Nov 11, 2005

Last updated

Dec 28, 2023By 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

Craig Brace

Title

Administrator

Phone

(573) 581-1332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Audrain County Health Deptartment Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Audrain County Health Center

  dba Audrain County Health Department Home Health and Hospice

  • Home Health Agency
  • Mexico, MO
  • NPI 1023009354

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1023099439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S ELMWOOD DRIVE",
            "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 DRIVE",
            "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": "2005-11-11",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-581-1332"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510903503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrain County Health Deptartment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audrain County Health Deptartment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allied Medical Systems Inc
• Ashley Danielle Arens, FNP
• Audrain Ambulance District
• Audrain Ambulance District
• Audrain County Health Center (Audrain County Health Department Home Health and Hospice)
• Audrain County Health Center (Audrain County Health Department Home Health and Hospice)
• Audrain Emergency Group LLC
• Audrain Handicapped Services
• Audrain Handicapped Services
• Audrain Handicapped Services

• Public Health or Welfare Agency in Mexico, MO
• Providers in Mexico, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.