Active NPI
Stone County Health Department
- Public Health or Welfare Agency
- Reeds Spring, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 511209207
- Legal business name
- STONE COUNTY HEALTH DEPARTMENT
- Practice address
- 701 Old Wilderness Rd
Reeds Spring, MO 65737-8626 - Phone
- (417) 272-0050
- Fax
- (417) 272-9058
- NPI assigned
- Mar 28, 2007
- Last updated
- Nov 12, 2024
- 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
- Maria L. Wells
- Title
- Administrative Assistant
- Phone
- (417) 272-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 511209207 | MO | Primary |
Addresses
Primary practice location
701 Old Wilderness Rd
Reeds Spring, MO 65737-8626
Mailing address
701 Old Wilderness Rd
Reeds Spring, MO 65737-8626
Phone (417) 272-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511209207 | 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 |
|---|---|---|---|---|
| O20051006000934 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153346374 | Practice locations: Branson West, MO; Galena, MO |
National Provider Directory
National Provider DirectoryLocations
15765 State Highway 13
Ste 1
Branson West, MO 65737
Phone (417) 272-0050
15765 State Highway 13
Ste 4
Branson West, MO 65737
Phone (417) 272-0050
109 E 4th St
Galena, MO 65656
Phone (417) 357-6134
701 Old Wilderness Rd
Reeds Spring, MO 65737
Phone (417) 272-0050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Branson, MO
- NPI 1396776761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1790804128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 OLD WILDERNESS RD",
"city": "REEDS SPRING",
"state": "MO",
"postal_code": "657378626",
"telephone_number": "417-272-0050",
"fax_number": "417-272-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 OLD WILDERNESS RD",
"city": "REEDS SPRING",
"state": "MO",
"postal_code": "657378626",
"telephone_number": "417-272-0050",
"fax_number": "417-272-9058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "417-272-0050"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MO",
"license": "511209207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511209207",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reeds Spring, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.