DOUGLAS COUNTY HEALTH DEPARTMENT (NPI# 1649253105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649253105 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY HEALTH DEPARTMENT |
| Practice Address |
603 Nw 12th St Building C Ava MO 65608-0940 |
| Mailing Address |
Po Box 940 Building C Ava MO 65608-0940 |
| Practice Telephone | 4176834174 |
| Practice Fax Number | 4176834111 |
| Mailing Telephone | 4176834174 |
| Mailing Fax Number | 4176834111 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA PUEPPKE (ADMINISTRATOR) |
| Authorized Official Telephone | 4176834174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOUGLAS COUNTY HEALTH DEPARTMENT | 1111 South 41st St, Omaha, NE 68105-1803 |
| Street Address |
603 NW 12TH ST BUILDING C |
| City | AVA |
| State | MO |
| Zip Code | 65608-0940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326871 | Regional Services | Nurse Practitioner | 507 Ne 3rd St, Ava, MO 65608 | 2018-08-15 |
| 1629558168 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 916 N.w. Springfield Ave, Suite F, Ava, MO 65608 | 2018-08-15 |
| 1235639592 | Carolyn Marie Myers | Occupational Therapist | 223 South Jefferson Street, Ava, MO 65608 | 2018-02-13 |
| 1114386497 | Judy King | Counselor | 202 Nw Str Str 1, Ava, MO 65608 | 2016-02-16 |
| 1548653009 | Grace Smith | Pharmacist | 124 West Washington Avenue, Ava, MO 65608 | 2015-03-09 |
| 1427397769 | Rebecca L Mcbride | Nurse Practitioner | 120 W Lincoln Ave, Ava, MO 65608 | 2013-02-06 |
| 1154695716 | Medical Equipment Inspection & Repair | Durable Medical Equipment & Medical Supplies | 122 East Washington Ave, Ava, MO 65608 | 2012-02-29 |
| 1932471695 | Lacinda Kaye Higley | Mechanotherapist | 603 North West 10th Ave, Ava, MO 65608 | 2012-01-27 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1013224047 | Family Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 916 N.w. 12th Ave, Suite F, Ava, MO 65608 | 2010-09-13 |
| Find all providers in zip 65608 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958449 | Lewis County Health Department | Clinic/Center | 101 State Highway A, Monticello, MO 63457-1040 | 2019-02-19 |
| 1699031096 | Judy Elaine Knowlton | Clinic/Center | 1003 East Locust Street, Ripley County Health Center, Doniphan, MO 63935-8121 | 2012-04-10 |
| 1063782241 | Ripley County Public Health Department | Clinic/Center | Rr 8 Box 1478, Doniphan, MO 63935-8121 | 2012-01-05 |
| 1275775009 | Marion County Health Dept. & Home Health Agency | Clinic/Center | 3105 Rt. W, Hannibal, MO 63401-1378 | 2009-03-25 |
| 1134329816 | Cooper County Public Health Center | Clinic/Center | 606 E Spring St, Boonville, MO 65233-1523 | 2007-07-20 |
| 1861697955 | Truman Medical Center, Incorporated | Clinic/Center | 313 S Liberty St, Independence, MO 64050-3802 | 2007-06-19 |
| 1467554352 | Tri-county Health Department | Clinic/Center | 302 N Park St, Stanberry, MO 64489 | 2006-09-02 |
| 1477538825 | Cape Girardeau County Health Department | Clinic/Center | 1121 Linden St, Cape Girardeau, MO 63703-7708 | 2005-12-08 |
| 1497749469 | Chariton County Health Dept. | Clinic/Center | 206 State St, Keytesville, MO 65261-1163 | 2005-09-07 |
| 1427051069 | Phelps County Clerk | Clinic/Center | 200 N Main St, Ste G51, Rolla, MO 65401-3070 | 2005-05-27 |
| Find all providers with the same taxonomy | ||||
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| 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.