Organization Active NPI

City of St. Joseph

  • Public Health or Welfare Agency
  • Saint Joseph, MO
National Provider Identifier
1720102429
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF ST. JOSEPH
Practice address
904 S 10TH St
Saint Joseph, MO 64503-2405
Phone
(816) 271-4636
Fax
(816) 271-4764
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Debra Bradley, MSW
Title
Director of Health
Phone
(816) 217-4636

Specialties & licenses 1

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

Addresses

Primary practice location

904 S 10TH St
Saint Joseph, MO 64503-2405

Mailing address

904 S 10TH St
Saint Joseph, MO 64503-2405
Phone (816) 271-4636

Other identifiers 1

IdentifierTypeStateIssuer
23691018OtherMOMC PLUS WITH BC BS

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
26D0721984City of St Joseph Health Department904 South 10TH Street, Suite E, Saint Joseph, MO 64503Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1720102429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-271-4636",
            "fax_number": "816-271-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-271-4636",
            "fax_number": "816-271-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ST. JOSEPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "816-217-4636",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PLUS WITH BC BS",
            "identifier": "23691018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.