Ralls County Health Department
Organization Active NPI Public Health or Welfare Agency · New London, MO
NPI 1497787030 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1497787030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- RALLS COUNTY HEALTH DEPARTMENT
- Practice address
- 405 W. First St.
New London, MO 63459 - Phone
- (573) 985-7121
- Fax
- (573) 985-1531
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Maekayla Wiler, BSN, RN
- Title
- Administrator
- Phone
- (573) 985-7121
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230105001249 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557467404 | Practice locations: New London, MO |
| O20231031001851 | MO | Part B Supplier - Clinic/Group Practice | 1557467404 |
Receives reassigned benefits from 1 practitioner Practice locations: New London, MO |
National Provider Directory
Locations
16369 Business Highway 61
New London, MO 63459
Phone (573) 985-7121
405 W 1st St
New London, MO 63459
Phone (573) 985-7121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| General Practice Physician | 208D00000X | |||
| Public Health or Welfare Agency | 251K00000X | Yes | ||
| State or Local Public Health Clinic/Center | 261QP0905X |
Addresses
Primary practice location
405 W. First St.
New London, MO 63459
Mailing address
405 W. First St.
PO Box 434
New London, MO 63459
Phone (573) 985-7121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580620102 | Medicaid | MO | |
| 280620105 | Medicaid | MO | |
| 260620109 | Medicaid | MO | |
| 510620107 | Medicaid | MO |
Other providers in New London, MO
- Comprehensive Health Systems, Inc
- Comprehensive Health Systems, Inc.
- Comprehensive Health Systems, Inc.
- Independent Mobility LLC
- Preferred Family Healthcare, Inc
- Michael David Richardson
- Tresa Harris Richardson
- Amber Roberts
- Kim Robinson
All providers in New London, 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 Dec 28, 2023. 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.