Organization Active NPI

Atchison County Health Center

  • Public Health or Welfare Agency
  • Tarkio, MO
National Provider Identifier
1346466737
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ATCHISON COUNTY HEALTH CENTER
Practice address
521 Main St
Tarkio, MO 64491-1546
Phone
(660) 736-4121
Fax
(660) 736-5533
NPI assigned
Apr 17, 2007
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Julie Livengood, RD, LD
Title
Administrator
Phone
(660) 736-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

521 Main St
Tarkio, MO 64491-1546

Mailing address

521 Main St
Tarkio, MO 64491-1546
Phone (660) 736-4121

Other identifiers 1

IdentifierTypeStateIssuer
512449505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120105000533 MO Part B Supplier - Mass Immunization (Roster Biller Only) 4385810704 Practice locations: Tarkio, MO
O20211027001529 MO Part B Supplier - Clinic/Group Practice 4385810704 Receives reassigned benefits from 1 practitioner
Practice locations: Tarkio, MO

National Provider Directory

National Provider Directory

Locations

421 Main St
Tarkio, MO 64491
Phone (660) 736-4121

521 Main St
Tarkio, MO 64491
Phone (660) 736-4121

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1346466737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "TARKIO",
            "state": "MO",
            "postal_code": "644911546",
            "telephone_number": "660-736-4121",
            "fax_number": "660-736-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "TARKIO",
            "state": "MO",
            "postal_code": "644911546",
            "telephone_number": "660-736-4121",
            "fax_number": "660-736-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATCHISON COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-736-4121",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512449505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarkio, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.