Organization Active NPI

Lawrence County Health Department

  • Public Health or Welfare Agency
  • Mount Vernon, MO
National Provider Identifier
1104965169
Registry record updated Oct 25, 2022
On this page

Key facts

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

Updated by the provider on Oct 25, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511878704MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.