NPIMap

Organization Active NPI

Marion County Health Dept. & Home Health Agency

  • State or Local Public Health Clinic/Center
  • Hannibal, MO
National Provider Identifier
1275775009
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
000702-200023896 Issued in MO
Legal business name
MARION COUNTY HEALTH DEPT. & HOME HEALTH AGENCY
Practice address
3105 RT. W
Hannibal, MO 63401-1378
Phone
(573) 221-1166
Fax
(573) 221-1214
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mr. Stephen Douglas St. Clair
Title
Environmental Public Health Special
Phone
(573) 221-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 000702-200023896 MO Primary

Addresses

Primary practice location

3105 RT. W
Hannibal, MO 63401-1378

Mailing address

P.O. Box 1378
3105 RT W
Hannibal, MO 63401-1378
Phone (573) 221-1166

Other identifiers 1

IdentifierTypeStateIssuer
394653950OtherMOLEAD PROGRAM

National Provider Directory

National Provider Directory
Tax ID family
Marion County Health Dept Home Health Agency7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1275775009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1378",
            "address_2": "3105 RT W",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011378",
            "telephone_number": "573-221-1166",
            "fax_number": "573-221-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 RT. W",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011378",
            "telephone_number": "573-221-1166",
            "fax_number": "573-221-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HEALTH DEPT. & HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "ST. CLAIR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "ENVIRONMENTAL PUBLIC HEALTH SPECIAL",
        "authorized_official_telephone_number": "573-221-1166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MO",
            "license": "000702-200023896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEAD PROGRAM",
            "identifier": "394653950",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.