HENRY COUNTY HEALTH CENTER (NPI# 1104876788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104876788 |
| Entity Type | Organization |
| Organization Name | HENRY COUNTY HEALTH CENTER |
| Practice Address |
306 S 2nd St Clinton MO 64735-2106 |
| Practice Telephone | 6608858193 |
| Practice Fax Number | 6608857744 |
| Mailing Telephone | 6608858193 |
| Mailing Fax Number | 6608857744 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | BONNIE GLASS (ADMINISTRATOR) |
| Authorized Official Telephone | 6608858193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 511321200 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HENRY COUNTY HEALTH CENTER | 1800 Community, Clinton, MO 64735-8804 |
| Street Address |
306 S 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881966968 | National Mentor Healthcare, LLC | Public Health or Welfare | 208 Mckoy St, Clinton, NC 28328-3402 | 2012-02-03 |
| 1053569442 | Hickman County High School Clinic | Public Health or Welfare | 301 East Cresap Street, Clinton, KY 42031 | 2008-08-28 |
| 1982747804 | Purchase District Health Dept | Public Health or Welfare | 416 Mcmorris St, Clinton, KY 42031-1244 | 2007-02-14 |
| 1316089071 | Prince George's Health Department | Public Health or Welfare | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2007-02-12 |
| 1871632539 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Road, Clinton, MD 20735-3630 | 2007-02-06 |
| 1790850469 | Vermillion County Health Department | Public Health or Welfare | 257 Walnut St, Clinton, IN 47842-2342 | 2006-11-21 |
| 1295833168 | Clinton Public Schools | Public Health or Welfare | 2130 W Gary Blvd, Clinton, OK 73601-5304 | 2006-09-21 |
| 1437186657 | Purchase District Health Dept | Public Health or Welfare | 370 S Washington Street, Clinton, KY 42031 | 2006-06-26 |
| 1366057523 | Prince George's County Health Department | Public Health or Welfare | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2020-09-14 |
| 1265850283 | Laurens County Health Department | Public Health or Welfare | 93 Human Services Rd, Clinton, SC 29325-7546 | 2014-04-07 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.