Organization Active NPI

Clinton County Health Department

  • Public Health or Welfare Agency
  • Plattsburg, MO
National Provider Identifier
1770617995
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLINTON COUNTY HEALTH DEPARTMENT
Practice address
106 Bush St.
Plattsburg, MO 64477
Phone
(816) 539-2144
Fax
(816) 539-3306
NPI assigned
Mar 16, 2007
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mr. Blair E Shock
Title
Administrator
Phone
(816) 539-2144

Specialties & licenses 1

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

Addresses

Primary practice location

106 Bush St.
Plattsburg, MO 64477

Mailing address

106 Bush St.
Plattsburg, MO 64477
Phone (816) 539-2144

Other identifiers 1

IdentifierTypeStateIssuer
512004201MedicaidMO

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
26D0666208Clinton County Health Department106 Bush Street, Plattsburg, MO 64477Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

106 Bush St
Plattsburg, MO 64477
Phone (816) 539-2144

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1770617995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BUSH ST.",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "64477",
            "telephone_number": "816-539-2144",
            "fax_number": "816-539-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUSH ST.",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "64477",
            "telephone_number": "816-539-2144",
            "fax_number": "816-539-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-539-2144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512004201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.