Active NPI
Dade County Health Center
- Community Health Clinic/Center
- Greenfield, MO
National Provider Identifier
1114174935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512460304 | Medicaid | MO |
Other names 1
- Dade County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120327000391 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800056045 | Practice locations: Greenfield, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0666347 | Dade County Health Department | Provider-performed microscopy | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.