Active NPI
Lawrence County Health Department
- Public Health or Welfare Agency
- Mount Vernon, MO
National Provider Identifier
1104965169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LAWRENCE COUNTY HEALTH DEPARTMENT
- Practice address
- 105 W North St
Mount Vernon, MO 65712-1017 - Phone
- (417) 466-2201
- Fax
- (417) 466-7485
- NPI assigned
- Feb 6, 2007
- 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
- Janella Spencer
- Title
- RN, Administrator
- Phone
- (417) 466-2201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
105 W North St
Mount Vernon, MO 65712-1017
Mailing address
105 W North St
Mount Vernon, MO 65712-1017
Phone (417) 466-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511878704 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
105 W North St
Mount Vernon, MO 65712
Phone (417) 466-2201
1549 Missouri Dr
Mount Vernon, MO 65712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1104965169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W NORTH ST",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657121017",
"telephone_number": "417-466-2201",
"fax_number": "417-466-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W NORTH ST",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657121017",
"telephone_number": "417-466-2201",
"fax_number": "417-466-7485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "JANELLA",
"authorized_official_title_or_position": "RN, ADMINISTRATOR",
"authorized_official_telephone_number": "417-466-2201"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511878704",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.