Organization Name: | RANDOLPH COUNTY HEALTH DEPARTMENT |
NPI Number: | 1548446933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSS W MCKINSTRY (ADMINISTRATOR) |
Mailing Address: | 423 E. Logan St. Moberly |
State: | MO US |
Postal Code: | 652702222 |
Phone Number: | 6602636643 |
Fax Number: | 6602630333 |
NPI Enumeration Date: | 01/15/2008 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 003614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |