Active NPI
Washington County Health Department
- Public Health or Welfare Agency
- Potosi, MO
National Provider Identifier
1780656199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- WASHINGTON COUNTY HEALTH DEPARTMENT
- Practice address
- 520 Purcell Rd
Potosi, MO 63664-1598 - Phone
- (573) 438-2164
- Fax
- (573) 438-4759
- NPI assigned
- Feb 2, 2006
- 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
- Mrs. Lisa Vercille Miller
- Title
- Clerk Typist 1
- Phone
- (573) 438-2164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
520 Purcell Rd
Potosi, MO 63664-1598
Mailing address
520 Purcell Rd
Potosi, MO 63664-1598
Phone (573) 438-2164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120224000278 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143488908 | Practice locations: Potosi, 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 |
|---|---|---|---|
| 26D0652155 | Washington County Health Department | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
520 Purcell Rd
Potosi, MO 63664
Phone (573) 438-2164
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Potosi, MO
- NPI 1952399792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780656199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PURCELL RD",
"city": "POTOSI",
"state": "MO",
"postal_code": "636641598",
"telephone_number": "573-438-2164",
"fax_number": "573-438-4759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 PURCELL RD",
"city": "POTOSI",
"state": "MO",
"postal_code": "636641598",
"telephone_number": "573-438-2164",
"fax_number": "573-438-4759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "VERCILLE",
"authorized_official_title_or_position": "CLERK TYPIST 1",
"authorized_official_telephone_number": "573-438-2164",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potosi, MO
- Wal-Mart Stores East LP
- Washington County Board for the Handicapped
- Washington County Handicapped Services
- Washington County Handicapped Services Adult Day Health Care
- Washington County Handicapped Services in Home Personal Care Services
- Washington County Memorial Hospital
- Washington County Memorial Hospital
- Washington County Memorial Hospital
- Washington County Memorial Hospital
- Washington County Memorial Hospital
Sources for this page
- 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.
- 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.