County of Jasper

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF JASPER

Practice address

105 Lincoln St
Carthage, MO 64836-1512

Phone

(417) 358-3111

NPI assigned

Mar 28, 2007

Last updated

Jan 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tony Moehr

Title

Administrator

Phone

(417) 358-3111

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1851410252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LINCOLN ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361512",
            "telephone_number": "417-358-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LINCOLN ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361512",
            "telephone_number": "417-358-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JASPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MOEHR",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-358-3111"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512031105",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202709515",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Carthage, MO
• Providers in Carthage, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.