Organization Active NPI

Daviess County Health Department

  • Public Health or Welfare Agency
  • Gallatin, MO
National Provider Identifier
1114000270
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DAVIESS COUNTY HEALTH DEPARTMENT
Practice address
609A S Main St
Gallatin, MO 64640-1447
Phone
(660) 663-2414
Fax
(660) 663-3919
NPI assigned
Oct 23, 2006
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Ms. Janet McMahon
Title
Office Manager
Phone
(660) 663-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MO Primary

Addresses

Primary practice location

609A S Main St
Gallatin, MO 64640-1447

Mailing address

609A S Main St
Gallatin, MO 64640-1447

Other identifiers 1

IdentifierTypeStateIssuer
511981805MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000134 MO Part B Supplier - Mass Immunization (Roster Biller Only) 4981639663 Practice locations: Gallatin, MO

National Provider Directory

National Provider Directory

Locations

609 S Main St
#A
Gallatin, MO 64640

609A S Main St
Gallatin, MO 64640
Phone (660) 663-2414

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1114000270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609A S MAIN ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646401447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609A S MAIN ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646401447",
            "telephone_number": "660-663-2414",
            "fax_number": "660-663-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-663-2414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511981805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.