Grundy County Health Dept

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

14277883 Issued in MO

Legal business name

GRUNDY COUNTY HEALTH DEPT

Practice address

1716 Lincoln St
Trenton, MO 64683-1584

Phone

(660) 359-4196

Fax

(660) 359-5470

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Gibson

Title

Administrator

Phone

(660) 359-4196

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grundy County Health Department Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1093849481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 LINCOLN ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831584",
            "telephone_number": "660-359-4196",
            "fax_number": "660-359-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 LINCOLN ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831584",
            "telephone_number": "660-359-4196",
            "fax_number": "660-359-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-359-4196"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "14277883",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511844508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grundy County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Green Hills Superior Care, Inc.
• Gregory Dean Cross
• Shanna Kay Griffin
• Daryian Michelle Grossman, DPT
• Grundy County Association for Handicapped Citizens
• Grundy County Nursing Home District
• Nancy L Guthrie, FNP
• Felicia Ann Hall, MA, PLPC
• Hanger Prosthetics & Orthotics East Inc
• Jayden Harris

• All providers in Trenton, MO
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.