| Organization Name: | COOPER COUNTY PUBLIC HEALTH CENTER |
| NPI Number: | 1134329816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELANIE HEIN (ADMINISTRATOR) |
| Mailing Address: | 606 E Spring St Boonville |
| State: | MO US |
| Postal Code: | 652331523 |
| Phone Number: | 6608822626 |
| Fax Number: | 6608822586 |
| NPI Enumeration Date: | 07/20/2007 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |