NPIMap

Organization Active NPI

Cape Girardeau County Health Department

  • State or Local Public Health Clinic/Center
  • Cape Girardeau, MO
National Provider Identifier
1477538825
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CAPE GIRARDEAU COUNTY HEALTH DEPARTMENT
Practice address
1121 Linden St
Cape Girardeau, MO 63703-7708
Phone
(573) 335-7846
Fax
(573) 335-5909
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Peggy Jane Wernsman, RN
Title
Director
Phone
(573) 335-7846

Specialties & licenses 1

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

Addresses

Primary practice location

1121 Linden St
Cape Girardeau, MO 63703-7708

Mailing address

PO Box 1839
Cape Girardeau, MO 63702-1839
Phone (573) 335-7846

Other identifiers 1

IdentifierTypeStateIssuer
512121807MedicaidMO

Other names 1

  • CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080510000063 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6406935808 Practice locations: Cape Girardeau, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cape Girardeau County Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1121 Linden St
Lowr
Cape Girardeau, MO 63703
Phone (573) 335-2229

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Girardeau County Public Health CenterCape Girardeau, MO, CCN 263862 Rural health clinic Other Sep 18, 1986

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1477538825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1839",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637021839",
            "telephone_number": "573-335-7846",
            "fax_number": "573-335-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 LINDEN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037708",
            "telephone_number": "573-335-7846",
            "fax_number": "573-335-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WERNSMAN",
        "authorized_official_first_name": "PEGGY JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-335-7846",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512121807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.