MONTGOMERY COUNTY HEALTH DEPARTMENT (NPI# 1902892375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902892375 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY COUNTY HEALTH DEPARTMENT |
| Practice Address |
400 Salisbury St Montgomery City MO 63361-1232 |
| Practice Telephone | 5735642495 |
| Practice Fax Number | 5735645059 |
| Mailing Telephone | 5735642495 |
| Mailing Fax Number | 5735645059 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | LINDA HARMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5735642495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | MO | Agencies | |
| Y | 251E00000X | Home Health | 25917 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 581670007 | 05 | |
| MO | 511670002 | 05 | |
| MO | HCUSA | 8475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619235090 | Montgomery County Health Department | Public Health or Welfare | 1040 Maysville Rd, Mount Sterling, KY 40353-9337 | 2012-04-24 |
| 1114203692 | Montgomery County Health Department | Public Health or Welfare | 212 N Maysville St, Mount Sterling, KY 40353-1150 | 2011-10-27 |
| 1568775088 | Montgomery County Health Department | Community/Behavioral Health | 1404 School St, Hillsboro, IL 62049-1938 | 2010-07-26 |
| 1396058723 | Montgomery County Health Department | Community/Behavioral Health | 317 W Union Ave, Litchfield, IL 62056-1932 | 2010-07-14 |
| 1598748071 | Montgomery County Health Department | Public Health or Welfare | 117 Civic Ctr, Mt Sterling, KY 40353-1478 | 2005-11-29 |
| 1366003535 | Montgomery County Health Department | Clinic/Center | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2019-06-27 |
| 1245891415 | Montgomery County Health Department | Clinic/Center | 317 W Union Ave, Litchfield, IL 62056-1932 | 2019-06-27 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| 1962956946 | Montgomery County Health Department | Community/Behavioral Health | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2016-08-08 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONTGOMERY COUNTY HEALTH DEPARTMENT | 400 N Salisbury, Montgomery City, MO 63361-1232 |
| Street Address |
400 SALISBURY ST |
| City | MONTGOMERY CITY |
| State | MO |
| Zip Code | 63361-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999251 | Diana L Gibbs | Nurse Practitioner | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-08-22 |
| 1467001248 | Preferred Family Healthcare Inc | Community/Behavioral Health | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2019-09-05 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508101338 | Charles Bukovac | Dentist | 215 South Sturgeon St, Montgomery City, MO 63361 | 2012-12-05 |
| 1265553820 | Thomas Robert Nichols | Dentist | 215 S Sturgeon, Suite C, Montgomery City, MO 63361 | 2007-04-02 |
| 1932114584 | Montgomery County Ambulance District | Ambulance | 911 Benton St, Montgomery City, MO 63361-1318 | 2006-07-30 |
| 1841346269 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2007-01-26 |
| 1255972196 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2019-10-02 |
| 1366940280 | Elizabeth A Holtman | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2018-01-25 |
| 1396104824 | Janet Holtman | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2016-02-11 |
| 1306202288 | Susan Mount | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2016-01-08 |
| 1629295563 | Family Pharmacy | Durable Medical Equipment & Medical Supplies | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2007-04-20 |
| 1205950078 | Developmental Disabilities Assistance Board of Montgomery County | Case Management | 230 E Norman St, Montgomery City, MO 63361-1427 | 2007-03-19 |
| Find all providers in zip 63361 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY CITY |
| Zip Code | 63361 |
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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.