| Organization Name: | BENTON CO. PUBLIC HEALTH |
| NPI Number: | 1720012677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ETHEL MAE KEYTE (CTIII) |
| Mailing Address: | 1238 Commercial St Warsaw |
| State: | MO US |
| Postal Code: | 653553157 |
| Phone Number: | 6604382876 |
| Fax Number: | 6604385746 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 11/24/2008 |
| 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: | |