Organization Active NPI

New Madrid County Health Dept

  • Public Health or Welfare Agency
  • New Madrid, MO
National Provider Identifier
1689877359
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NEW MADRID COUNTY HEALTH DEPT
Practice address
406 US Highway 61
New Madrid, MO 63869-1642
Phone
(573) 748-5541
Fax
(573) 748-5996
NPI assigned
Jun 8, 2007
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mrs. Jayne F Dees
Title
Administrator
Phone
(573) 748-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

406 US Highway 61
New Madrid, MO 63869-1642

Mailing address

406 US Highway 61
New Madrid, MO 63869-1642
Phone (573) 748-5541

Other identifiers 2

IdentifierTypeStateIssuer
428334304MedicaidMO
511175002MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000172 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5597925024 Practice locations: New Madrid, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0670475New Madrid County Health Department406 US Highway 61, New Madrid, MO 63869Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

406 US Highway 61
New Madrid, MO 63869
Phone (573) 382-8230

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1689877359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691642",
            "telephone_number": "573-748-5541",
            "fax_number": "573-748-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691642",
            "telephone_number": "573-748-5541",
            "fax_number": "573-748-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MADRID COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-748-5541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428334304",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511175002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Madrid, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.

Verify at the official NPI Registry.