Mercer County Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MERCER COUNTY HEALTH DEPARTMENT

Practice address

305 W Main St
Princeton, MO 64673-1133

Phone

(660) 748-3630

Fax

(660) 748-3634

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Phyllis Jane Johnson

Title

Administrator

Phone

(660) 748-3630

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053430561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646731133",
            "telephone_number": "660-748-3630",
            "fax_number": "660-748-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646731133",
            "telephone_number": "660-748-3630",
            "fax_number": "660-748-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-748-3630"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lee McDaniel, MS PT
• Medley Pharmacy Inc (EverCare Pharmacy LTC)
• Medley Pharmacy Inc. (EverCare Pharmacy)
• Mercer County Ambulance District
• Mercer County Ambulance District
• Pearl's II Eden for Elders LLC
• Pearls Residential Care LLC
• Princeton Physical Therapy and Sports Medicine LLC
• Amy Rhoades, PHARMD
• Saint Luke's Hospital of Trenton (Saint Luke's Mercer County Clinic)

• Public Health or Welfare Agency in Princeton, MO
• Providers in Princeton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.