Active NPI
Saline County Health Department
- Public Health or Welfare Agency
- Marshall, MO
National Provider Identifier
1841331501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 2002023836
- Legal business name
- SALINE COUNTY HEALTH DEPARTMENT
- Practice address
- 1825 Atchison Ave
Marshall, MO 65340-9752 - Phone
- (660) 886-3434
- Fax
- (660) 886-6676
- NPI assigned
- Feb 8, 2007
- Last updated
- May 15, 2023
- 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
- Tara V Brewer
- Title
- Administrator
- Phone
- (660) 886-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 2002023836 | MO | Primary |
Addresses
Primary practice location
1825 Atchison Ave
Marshall, MO 65340-9752
Mailing address
1825 Atchison Ave
Marshall, MO 65340-9752
Phone (660) 886-3434
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207425307 | Medicaid | MO | |
| 249690900 | Medicaid | MO | |
| 512174301 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
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 |
|---|---|---|---|
| 26D0858044 | Saline County Health Department | Provider-performed microscopy | Jul 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Marshall, MO
- NPI 1790721520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1841331501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 ATCHISON AVE",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653409752",
"telephone_number": "660-886-3434",
"fax_number": "660-886-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 ATCHISON AVE",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653409752",
"telephone_number": "660-886-3434",
"fax_number": "660-886-6676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALINE COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "660-886-3434"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MO",
"license": "2002023836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207425307",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249690900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "512174301",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MO
- Timothy J Ryan, D.O.
- Seyed A Sajadi, MD
- Saleaumua Inc (The Medicine Shoppe)
- Saline County Ambulance District No 3
- Saline County Board of Services for the Developmentally Disabled
- Saline County School District R-10
- Elizabeth Marie Sandidge, FNP
- Diane Marie Schlesselman, ATC
- Rori A Schreiman, FNP
- Kurt Schroer, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.