Active NPI
Perry County Health Department
- Public Health or Welfare Agency
- Perryville, MO
National Provider Identifier
1922095025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- PERRY COUNTY HEALTH DEPARTMENT
- Practice address
- 406 N Spring St
Suite #1
Perryville, MO 63775-1935 - Phone
- (573) 547-6564
- Fax
- (573) 547-3908
- NPI assigned
- Oct 4, 2005
- 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
- Mrs. Judy Marie Laurentius
- Title
- Administrator
- Phone
- (573) 547-6564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
406 N Spring St
Suite #1
Perryville, MO 63775-1935
Mailing address
406 N Spring St
Suite #1
Perryville, MO 63775-1935
Phone (573) 547-6564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111028000627 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476726910 | Practice locations: Perryville, MO |
National Provider Directory
National Provider DirectoryLocations
406 N Spring St
Ste 1
Perryville, MO 63775
Phone (573) 547-6564
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health or Welfare Agency
- Perryville, MO
- NPI 1508886656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1922095025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N SPRING ST",
"address_2": "SUITE #1",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751935",
"telephone_number": "573-547-6564",
"fax_number": "573-547-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N SPRING ST",
"address_2": "SUITE #1",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751935",
"telephone_number": "573-547-6564",
"fax_number": "573-547-3908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "LAURENTIUS",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-547-6564",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.