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Audrain County Health Center

Organization Active NPI Community Based Hospice Care Agency · Mexico, MO

NPI 1972584340 · NPPES record last updated Dec 5, 2013

Key facts

NPI
1972584340
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
AUDRAIN COUNTY HEALTH CENTER
Practice address
1130 S Elmwood
Mexico, MO 65265-0957
Phone
(573) 581-6060
Fax
(573) 581-6652
NPI assigned
Nov 10, 2005
Organization subpart
No

Authorized official

Name
Dr. Patricia Burke, M. D.
Title
Board Chairperson
Phone
(573) 581-1332

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
SSM Health Businesses (10 organizations share this tax ID)

Locations

1130 S Elmwood Dr
Mexico, MO 65265
Phone (573) 581-1332

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

1130 S Elmwood
Mexico, MO 65265-0957

Mailing address

1130 S Elmwood
P.O. Box 957
Mexico, MO 65265-0957
Phone (573) 581-6060

Other identifiers

IdentifierTypeStateIssuer
820328102MedicaidMO

Other names

  • Audrain County Health Department Home Health and Hospice Doing business as

Other providers in Mexico, MO

All providers in Mexico, MO · Community Based Hospice Care Agency in Missouri

Sources for this page

Verify at the official NPI Registry.