Cooper County Public Health Center

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COOPER COUNTY PUBLIC HEALTH CENTER

Practice address

17040 Klinton Dr
Boonville, MO 65233-3542

Phone

(660) 882-2626

Fax

(660) 882-2586

NPI assigned

Jul 20, 2007

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Hutton

Title

Administrator

Phone

(660) 882-2626

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1134329816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 KLINTON DR",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652333542",
            "telephone_number": "660-882-2626",
            "fax_number": "660-882-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 KLINTON DR",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652333542",
            "telephone_number": "660-882-2626",
            "fax_number": "660-882-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COUNTY PUBLIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-882-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chariton Health Systems Inc (Community Medical Equipment)
• Cooper County Ambulance District (Cooper County Ambulance)
• Cooper County Board of Sheltered Services
• Cooper County Memorial Hospital
• Cooper County Memorial Hospital
• Donette Dee Cornett, LPC
• Shelbey Allyn Costello, OTR/L
• Amanda Crabtree, PLPC
• Dancing Horizon Health Foundation, Inc.
• Dancing Horizon Health LC

• State or Local Public Health Clinic/Center in Boonville, MO
• Providers in Boonville, MO by specialty
• State or Local Public Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.