Madison County Health Department
Organization Active NPI Public Health or Welfare Agency · Fredericktown, MO
NPI 1447200746 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1447200746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- MADISON COUNTY HEALTH DEPARTMENT
- Practice address
- 105 Armory St
Fredericktown, MO 63645-1341 - Phone
- (573) 783-2747
- Fax
- (573) 783-8039
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Alica K White
- Title
- Billing Supervisor
- Phone
- (573) 783-2747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120823000313 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 2769639996 | Practice locations: Fredericktown, MO |
National Provider Directory
Locations
105 Armory St
Fredericktown, MO 63645
Phone (573) 783-2089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
105 Armory St
Fredericktown, MO 63645-1341
Mailing address
105 Armory St
Fredericktown, MO 63645-1341
Phone (573) 783-2747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447200746 | Other | HUMANA | |
| 1447200746 | Other | MO | HEALTHLINK, |
| 1447200746 | Other | MO | AETNA |
| 1447200746 | Other | NEW ERA LIFE INSURANCE COMPANY | |
| 1447200746 | Other | MO | ANTHEM BCBS |
| 1447200746 | Other | MO | UNITED HEALTHCARE |
| 1447200746 | Other | MO | AMBETTER-HOME STATE HEALTH |
| 1447200746 | Medicaid | MO | |
| 1447200746 | Other | MO | HARMONY HEALTHCARE |
| 1447200746 | Other | MO | CIGNA |
| 1447200746 | Other | MO | GOLDEN RULE |
| 1447200746 | Other | MO | COX HEALTH PLAN |
| 1447200746 | Other | MO | PHYSICIANS HEALTH PLAN-GLOBAL CARE |
| 1447200746 | Other | MO | MISSOURI CARE PLAN |
| 1447200746 | Other | TRICARE | |
| 1447200746 | Other | MO | HEALTHCARE USA |
| 1447200746 | Other | MO | MERITAIN HEALTH |
| 1447200746 | Other | MO | MERCY HEALTH PLAN |
| 1447200746 | Other | MO | CARE IMPROVEMENT PLUS |
| 1447200746 | Other | MO | ALL SAVERS INSURANCE CO |
| 1447200746 | Other | MO | UMR |
| 1447200746 | Other | MO | MOLINA HEALTHCARE |
| 1447200746 | Other | MO | SECURE HORIZAN |
Other providers in Fredericktown, MO
- Nancy D Lodge
- Madison County Adult Learning Center
- Madison County Ambulance District
- Madison County Council for Developmentally Disabled
- Madison County Council for Developmentally Disabled, Inc.
- Madison County Service Coordination Inc
- Madison Medical Center
- Madison Medical Center
- Madison Medical Center
- Madison Medical Center Stockhoff Memorial Nursing Home
All providers in Fredericktown, MO · Public Health or Welfare Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.