Organization Active NPI

Henry County Health Center

  • Public Health or Welfare Agency
  • Clinton, MO
National Provider Identifier
1104876788
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Sep 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511321200MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.