County Board of Trustees

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY BOARD OF TRUSTEES

Doing business as

Reynolds County Health Center

Practice address

2323 Green St
Centerville, MO 63633

Phone

(573) 648-2498

Fax

(573) 648-2510

NPI assigned

Jul 30, 2006

Last updated

Jan 24, 2011By 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

Kathleen Zimmerman, RN

Title

Administrator

Phone

(573) 648-2498

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reynolds County Health Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1871508622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 GREEN ST",
            "address_2": "P O BOX 40",
            "city": "CENTERVILLE",
            "state": "MO",
            "postal_code": "63633",
            "telephone_number": "573-648-2498",
            "fax_number": "573-648-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 GREEN ST",
            "city": "CENTERVILLE",
            "state": "MO",
            "postal_code": "63633",
            "telephone_number": "573-648-2498",
            "fax_number": "573-648-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-648-2498",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511969800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centerville R-1
• Reynolds County Ambulance Centerville Base
• Reynolds County Ambulance District

• Public Health or Welfare Agency in Centerville, MO
• Providers in Centerville, 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 24, 2011; 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.