RANDOLPH COUNTY HEALTH DEPARTMENT (NPI# 1194805267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194805267 |
| Entity Type | Organization |
| Organization Name | RANDOLPH COUNTY HEALTH DEPARTMENT |
| Practice Address |
1319 E Highway 24 Moberly MO 65270-3682 |
| Practice Telephone | 6602636643 |
| Practice Fax Number | 6602630333 |
| Mailing Telephone | (660) 263-6643 |
| Mailing Fax Number | 6602630333 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-06-23 |
| Authorized Official Name | SHARON WHISENAND (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6602636643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1194805267 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659516458 | Randolph County Health Department | Public Health or Welfare | 325 S Oak St Ste 202, Winchester, IN 47394-2247 | 2008-12-08 |
| 1548446933 | Randolph County Health Department | Public Health or Welfare | 423 E. Logan St., Moberly, MO 65270-2222 | 2008-01-15 |
| 1326574567 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2017-05-09 |
| 1720474612 | Randolph County Health Department | Home Health | 423 E Logan St, Moberly, MO 65270-2222 | 2015-04-08 |
| 1952705717 | Randolph County Health Department | Clinic/Center | 2222 S Fayetteville St Ste B, Asheboro, NC 27205-7368 | 2014-10-22 |
| 1194990713 | Randolph County Health Department | Public Health or Welfare | 1319 E Highway 24, Moberly, MO 65270-3682 | 2008-04-24 |
| 1568499085 | Randolph County Health Department | Home Health | 1319 E Highway 24, Moberly, MO 65270-3682 | 2006-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RANDOLPH COUNTY HEALTH DEPARTMENT | 2515 State St, Chester, IL 62233-1149 |
| Street Address |
1319 E HIGHWAY 24 |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-3682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067097 | Rebecca Gibson | Nurse Practitioner | 1319 E Highway 24, Moberly, MO 65270-3682 | 2005-07-18 |
| 1467911149 | Rachael Elizabeth Soles | Nurse Practitioner | 1319 E Highway 24, Moberly, MO 65270-3682 | 2019-03-13 |
| 1326574567 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2017-05-09 |
| 1104291350 | Brooke D Gipson | Nurse Practitioner | 1319 E Highway 24, Moberly, MO 65270-3682 | 2015-12-13 |
| 1194990713 | Randolph County Health Department | Public Health or Welfare | 1319 E Highway 24, Moberly, MO 65270-3682 | 2008-04-24 |
| 1568499085 | Randolph County Health Department | Home Health | 1319 E Highway 24, Moberly, MO 65270-3682 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070428 | Moberly Hospital Company LLC | Clinic/Center | 1517 Union Ave Ste C, Moberly, MO 65270-9471 | 2007-03-14 |
| 1326574567 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2017-05-09 |
| 1295092419 | Moberly Hospital Company LLC | Clinic/Center | 300 N Morley St, Ste G/h, Moberly, MO 65270-2334 | 2012-04-12 |
| 1811063936 | Physician Groups, Lc | Clinic/Center | 1600 N Morley St, Suite A120, Moberly, MO 65270-3666 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.