MISSISSIPPI COUNTY HEALTH DEPARTMENT (NPI# 1023210648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023210648 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI COUNTY HEALTH DEPARTMENT |
| Other Organization Name | MISSISSIPPI COUNTY HEALTH DEPARTMENT |
| Practice Address |
1200 E Marshall St Charleston MO 63834-1336 |
| Practice Telephone | 5736832191 |
| Practice Fax Number | 5736836539 |
| Mailing Telephone | 5736832191 |
| Mailing Fax Number | 5736836539 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | RACHELLE JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 5736832191 |
| Authorized Official Credential | RD, LD, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | 126551 | MO | Agencies |
| Y | 251K00000X | Public Health or Welfare | 33173 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425384823 | 05 | |
| MO | 209992403 | 05 | |
| MO | 357290501 | 05 |
| Other Name | Type Code |
|---|---|
| Mississippi County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813257 | Mississippi County Health Department | Public Health or Welfare | 1200 E Marshall St, Charleston, MO 63834-1336 | 2018-12-18 |
| Street Address |
1200 E MARSHALL ST |
| City | CHARLESTON |
| State | MO |
| Zip Code | 63834-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813257 | Mississippi County Health Department | Public Health or Welfare | 1200 E Marshall St, Charleston, MO 63834-1336 | 2018-12-18 |
| 1912262783 | Rebecca L Crowley-kuykendall | Dietitian, Registered | 1200 E Marshall St, Charleston, MO 63834-1336 | 2012-07-09 |
| 1225369366 | Rachelle Johnson | Dietitian, Registered | 1200 E Marshall St, Charleston, MO 63834-1336 | 2010-01-28 |
| 1164753216 | Myra Gunn | Dietitian, Registered | 1200 E Marshall St, Charleston, MO 63834-1336 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215268404 | Lori J Blankenship | Nurse Practitioner | 1403 East Marshall, Charleston, MO 63834 | 2010-01-27 |
| 1548319759 | Donald Allen Raithel | Chiropractor | 110 West Commercial Ave, Charleston, MO 63834 | 2007-01-09 |
| 1790883064 | Gregorio Lerma Rodriguez | Family Medicine | 1403 E. Marshall Street, Charleston, MO 63834 | 2006-09-20 |
| 1194830760 | Ronald Lee Petersen | Dentist | 104 North Main St, Charleston, MO 63834 | 2006-08-21 |
| 1376068114 | Bianca Daisy | Pharmacist | 406 S. Main Street, Charleston, MO 63834 | 2017-08-12 |
| 1871815597 | Gregorio L. Rodriguez, M.d., P.C. | Family Medicine | 1403 E. Marshall Street, Charleston, MO 63834 | 2010-02-22 |
| 1851551907 | Jeffrey Griesemer | Family Medicine | 1403 E Marshall St, Charleston, MO 63834 | 2008-06-12 |
| 1982968681 | Rebecca Chapman | Chiropractor | 204 N 1st St, Charleston, MO 63834-1100 | 2012-06-27 |
| 1184988834 | Charleston Chiropractic LLC | Chiropractor | 204 N 1st St, Charleston, MO 63834-1100 | 2012-06-27 |
| 1992094825 | Sharon Leslie Mcghee | Counselor | 801 E Marshall St, Charleston, MO 63834-1262 | 2011-03-31 |
| Find all providers in zip 63834 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1265843809 | Mississippi State Department | Public Health or Welfare | 209 S Pleasant St, Charleston, MS 38921-2325 | 2014-05-16 |
| 1013232503 | Pluff Mud Therapy Services | Public Health or Welfare | 1849 Capri Dr, Charleston, SC 29407-7603 | 2010-03-29 |
| 1407039761 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2936 | 2007-12-10 |
| 1356813257 | Mississippi County Health Department | Public Health or Welfare | 1200 E Marshall St, Charleston, MO 63834-1336 | 2018-12-18 |
| 1649588831 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1558679746 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1730497926 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 63834 |
Please comment or provide details below to improve the information on MISSISSIPPI COUNTY HEALTH DEPARTMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.