| Organization Name: | RANDOLPH COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1568499085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA SUE BENNER (ACCOUNTING/BILLING) |
| Mailing Address: | 423 East Logan Street Moberly |
| State: | MO US |
| Postal Code: | 652700488 |
| Phone Number: | 6602636643 |
| Fax Number: | 6602630333 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |