Organization Active NPI

Dade County Health Center

  • Community Health Clinic/Center
  • Greenfield, MO
National Provider Identifier
1114174935
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DADE COUNTY HEALTH CENTER
Practice address
413 W Water St
Greenfield, MO 65661-1353
Phone
(417) 637-2345
Fax
(417) 637-2507
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Alisha J Masterson
Title
Insurance Billing
Phone
(417) 637-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

413 W Water St
Greenfield, MO 65661-1353

Mailing address

413 W Water St
Greenfield, MO 65661-1353
Phone (417) 637-2345

Other identifiers 1

IdentifierTypeStateIssuer
512460304MedicaidMO

Other names 1

  • Dade County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000391 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6800056045 Practice locations: Greenfield, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0666347Dade County Health Department413 West Water Street, Greenfield, MO 65661Provider-performed microscopyApr 10, 2027

National Provider Directory

National Provider Directory

Locations

413 W Water St
#D
Greenfield, MO 65661
Phone (417) 637-2345

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1114174935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W WATER ST",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656611353",
            "telephone_number": "417-637-2345",
            "fax_number": "417-637-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W WATER ST",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656611353",
            "telephone_number": "417-637-2345",
            "fax_number": "417-637-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "417-637-2345"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512460304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dade County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.