Organization Active NPI

Stone County Health Department

  • Public Health or Welfare Agency
  • Reeds Spring, MO
National Provider Identifier
1790804128
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
511209207 Issued in MO
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511209207MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000934 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1153346374 Practice locations: Branson West, MO; Galena, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.