Active NPI
Lincoln County Health Department
- Community Health Registered Nurse
- Troy, MO
National Provider Identifier
1659366417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 053723
- Legal business name
- LINCOLN COUNTY HEALTH DEPARTMENT
- Practice address
- 5 Health Department Dr
Troy, MO 63379-4551 - Phone
- (636) 528-6117
- Fax
- (636) 528-8629
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brett Siefert
- Title
- Administrator
- Phone
- (636) 528-6117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 053723 | MO | Primary |
Addresses
Primary practice location
5 Health Department Dr
Troy, MO 63379-4551
Mailing address
5 Health Department Dr
Troy, MO 63379-4551
Phone (636) 528-6117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511575201 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080414000464 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416983135 | Practice locations: Troy, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0441347 | Lincoln County Health Department | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
5 Health Department Dr
Troy, MO 63379
Phone (636) 528-6117
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Troy, MO
- NPI 1366163057
-
- Dental Hygienist
- Troy, MO
- NPI 1588113773
-
- Dental Hygienist
- Troy, MO
- NPI 1164083689
-
- General Practice Dentistry
- Troy, MO
- NPI 1619959434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349913600000",
"number": "1659366417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HEALTH DEPARTMENT DR",
"city": "TROY",
"state": "MO",
"postal_code": "633794551",
"telephone_number": "636-528-6117",
"fax_number": "636-528-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HEALTH DEPARTMENT DR",
"city": "TROY",
"state": "MO",
"postal_code": "633794551",
"telephone_number": "636-528-6117",
"fax_number": "636-528-8629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2012-10-11",
"status": "A",
"authorized_official_last_name": "SIEFERT",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "636-528-6117",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "MO",
"license": "053723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511575201",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.