Douglas County Health Department

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

DOUGLAS COUNTY HEALTH DEPARTMENT

Practice address

603 NW 12TH St
Building C
Ava, MO 65608-0940

Phone

(417) 683-4174

Fax

(417) 683-4111

NPI assigned

Nov 29, 2005

Last updated

Aug 22, 2020By 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

Sandra Pueppke

Title

Administrator

Phone

(417) 683-4174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649253105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "address_2": "BUILDING C",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656080940",
            "telephone_number": "417-683-4174",
            "fax_number": "417-683-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NW 12TH ST",
            "address_2": "BUILDING C",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656080940",
            "telephone_number": "417-683-4174",
            "fax_number": "417-683-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUEPPKE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-683-4174"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Ranee Cook, FNP
• Jerriann Coxson, CFNP
• Deaconess Long Term Care of Ohio, Inc. (Ava Place)
• Denney Chiropractic
• Kathy L Domiano, FNP
• Douglas County Public Health Services Group, Inc. (MOCH Pharmacy)
• Douglas County Public Health Services Group, Inc.
• Douglas County Public Health Services Group, Inc. (Missouri Ozarks Community Health)
• Douglas County Public Health Services Group, Inc. (Missouri Ozarks Community Health)
• Douglas County Public Health Services Group, Inc.

• State or Local Public Health Clinic/Center in Ava, MO
• Providers in Ava, MO by specialty
• State or Local Public Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.