Dunklin County Health Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DUNKLIN COUNTY HEALTH CENTER

Practice address

402 Recovery Rd
Kennett, MO 63857-3235

Phone

(573) 888-9008

Fax

(573) 888-1629

NPI assigned

Jan 22, 2007

Last updated

May 18, 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

Crystal Epley

Title

Administrator

Phone

(573) 888-9008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1467505396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RECOVERY RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573235",
            "telephone_number": "573-888-9008",
            "fax_number": "573-888-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RECOVERY RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573235",
            "telephone_number": "573-888-9008",
            "fax_number": "573-888-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNKLIN COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "EPLEY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-888-9008"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511146201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Duff
• Michael Douglas Duggar
• Iris Duley, BSW
• Laiken Ashton Duncan
• Lisa Dunham
• Dunklin Day Activity Center
• Carol Dye, MSW
• Donna Eakes
• James Allen Edgington, DO
• Edmund C Landry M D P C (Kennett Orthoaedic Center)

• Public Health or Welfare Agency in Kennett, MO
• Providers in Kennett, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.