Organization Active NPI

Saline County Health Department

  • Public Health or Welfare Agency
  • Marshall, MO
National Provider Identifier
1841331501
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
2002023836 Issued in MO
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
207425307MedicaidMO
249690900MedicaidMO
512174301MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150706000072 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1153345608 Practice locations: Marshall, MO
O20260506003387 MO Part B Supplier - Clinic/Group Practice 1153345608 Receives reassigned benefits from 1 practitioner
Practice locations: Marshall, MO

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
26D0858044Saline County Health Department1825 Atchison Ave, Marshall, MO 65340Provider-performed microscopyJul 27, 2027

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.