NPIMap

Organization Active NPI

Clark County Nursing Service & Home Health Agency

Doing business as Clark County Health Department Home Health Agency

  • Public Health or Welfare Agency
  • Kahoka, MO
National Provider Identifier
1992790398
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Doing business as
Clark County Health Department Home Health Agency
Practice address
670 N Johnson St
Kahoka, MO 63445-1430
Phone
(660) 727-2356
Fax
(660) 727-2927
NPI assigned
Sep 13, 2005
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
M. Evelena Sutterfield, RN
Title
Administrator
Phone
(660) 727-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

670 N Johnson St
Kahoka, MO 63445-1430

Mailing address

670 N Johnson St
P O Box 12
Kahoka, MO 63445-1430
Phone (660) 727-2356

Other identifiers 1

IdentifierTypeStateIssuer
510562705MedicaidMO

Other names 1

  • Clark County Health Department Home Health Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1992790398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N JOHNSON ST",
            "address_2": "P O BOX 12",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451430",
            "telephone_number": "660-727-2356",
            "fax_number": "660-727-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N JOHNSON ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451430",
            "telephone_number": "660-727-2356",
            "fax_number": "660-727-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "SUTTERFIELD",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "EVELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-727-2356",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510562705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark County Health Department Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahoka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.