Adair County Health Dept

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

ADAIR COUNTY HEALTH DEPT

Practice address

1001 S. Jamison St
Kirksville, MO 63501

Phone

(660) 665-8491

Fax

(660) 627-2913

NPI assigned

Apr 4, 2007

Last updated

Nov 30, 2017By 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

James Edward Lebaron

Title

Administrator

Phone

(660) 665-8491

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adair County Health Dept

  dba Adair County Health Department/Home Health Agency

  • Home Health Agency
  • Kirksville, MO
  • NPI 1992793517

  O20080402000115

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Adair County Health Dept

  dba Adair County Health Department/Home Health Agency

  • Home Health Agency
  • Kirksville, MO
  • NPI 1992793517

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valena Fiscus, D.O.

  • Internal Medicine Physician
  • Kirksville, MO
  • NPI 1386087757
  Medicare reassignment NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1265554935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S. JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-8491",
            "fax_number": "660-627-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S. JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-8491",
            "fax_number": "660-627-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "LEBARON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-665-8491"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Academic Medicine
• Achimbi Enterprises, L.L.C.
• Nicholas Evan Ackerley
• Adair County Ambulance District
• Adair County Ambulance District
• Adair County Health Dept (Adair County Health Department/Home Health Agency)
• Adair County Nursing Home District (Twin Pines Adult Care Center)
• Adair County SB40 Developmental Disability Board
• Adair County SB40 Developmental Disability Board
• Adair County SB40 Developmental Disability Board

• State or Local Public Health Clinic/Center in Kirksville, MO
• Providers in Kirksville, 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 30, 2017; 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.