Organization Name: | TANEY COUNTY HEALTH DEPT |
NPI Number: | 1497888085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E BERRY (ADMINISTRATOR) |
Mailing Address: | 15479 Us Hwy 160 Forsyth |
State: | MO US |
Postal Code: | 65653 |
Phone Number: | 4175464725 |
Fax Number: | 4175464727 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 05/20/2009 |
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: |