Adair County Health Dept
Clinic/Center, Public Health, State or Local in Kirksville, MO. Organization (NPI-2).
NPI number1265554935
StatusActive
Last updated in NPPESNov 30, 2017
Details
- NPI
- 1265554935
- Entity type
- Organization (NPI-2)
- Legal business name
- Adair County Health Dept
- Organization subpart
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Nov 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP0905X | Clinic/Center, Public Health, State or Local | – | – | Yes |
| 302F00000X | Exclusive Provider Organization | – | – |
Practice location
1001 S. Jamison StKirksville, MO 63501
Phone 660-665-8491 · Fax 660-627-2913
Mailing address
1001 S. Jamison StKirksville, MO 63501
Phone 660-665-8491 · Fax 660-627-2913
Authorized official
James Edward Lebaron
Administrator
6606658491
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