Organization Name: | NODAWAY COUNTY HEALTH CENTER |
NPI Number: | 1003001322 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELLA RHOADES (ADMINISTRATOR) |
Mailing Address: | 515 N Main St Maryville |
State: | MO US |
Postal Code: | 644681610 |
Phone Number: | 6605622755 |
Fax Number: | 6605624995 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |