Active NPI
Henry County Health Center
- Public Health or Welfare Agency
- Clinton, MO
National Provider Identifier
1104876788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- HENRY COUNTY HEALTH CENTER
- Practice address
- 306 S 2ND St
Clinton, MO 64735-2106 - Phone
- (660) 885-8193
- Fax
- (660) 885-7744
- NPI assigned
- May 12, 2006
- 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
- Bonnie Glass
- Title
- Administrator
- Phone
- (660) 885-8193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
306 S 2ND St
Clinton, MO 64735-2106
Mailing address
306 S 2ND St
Clinton, MO 64735-2106
Phone (660) 885-8193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511321200 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
309 S 2nd St
Clinton, MO 64735
Phone (660) 885-8193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316131200000",
"number": "1104876788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 S 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647352106",
"telephone_number": "660-885-8193",
"fax_number": "660-885-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 S 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647352106",
"telephone_number": "660-885-8193",
"fax_number": "660-885-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY COUNTY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2011-09-16",
"status": "A",
"authorized_official_last_name": "GLASS",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "660-885-8193"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511321200",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.