KNOX COUNTY HEALTH DEPARTMENT (NPI# 1417469537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417469537 |
| Entity Type | Organization |
| Organization Name | KNOX COUNTY HEALTH DEPARTMENT |
| Other Organization Name | KNOX COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY |
| Practice Address |
102 W Monticello St Edina MO 63537-1150 |
| Practice Telephone | 6603973396 |
| Practice Fax Number | 6603973579 |
| Mailing Telephone | 6603973396 |
| Mailing Fax Number | 6603973579 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | LORI R MOOTS-CLAIR (ADMINISTRATOR) |
| Authorized Official Telephone | 6603973396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | MO | Agencies | |
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 581942505 | 05 |
| Other Name | Type Code |
|---|---|
| Knox County Health Department Home Health Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477750412 | Knox County Health Department | Public Health or Welfare | 221 S Liberty St, Barbourville, KY 40906-1439 | 2007-07-02 |
| 1407830706 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2005-12-01 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1396381976 | Knox County Health Department | Public Health or Welfare | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2019-11-19 |
| 1457583858 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2009-08-18 |
| 1639376676 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2007-07-02 |
| 1548467582 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2007-07-02 |
| 1457558496 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2007-07-02 |
| 1366649303 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2007-07-02 |
| 1275730210 | Knox County Health Department | Public Health or Welfare | 261 Hospital Dr, Barbourville, KY 40906-7356 | 2007-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KNOX COUNTY HEALTH DEPARTMENT | 11660 Upper Gilchrist Rd, Mount Vernon, OH 43050-9084 |
| Street Address |
102 W MONTICELLO ST |
| City | EDINA |
| State | MO |
| Zip Code | 63537-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186579 | Hannah Katherine Dale | Physical Therapy Assistant | 55774, 6 State Hwy D, Edina, MO 63537 | 2015-10-09 |
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1174643332 | Knox County Ambulance District | Ambulance | 610 East Lafayette Street, Rr3 Box 30a, Edina, MO 63537 | 2007-03-30 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1114276532 | Knox County Pharmacy LLC | Pharmacy | 105 E Reid St Ste C, Edina, MO 63537-1155 | 2012-08-30 |
| 1023094240 | Beth M Schrage | Nurse Practitioner | 100 E Jackson St, Edina, MO 63537-1335 | 2005-12-20 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| 1437423100 | Hrw, Inc. | Psychiatric Residential Treatment Facility | 300 N Main St, Edina, MO 63537-1353 | 2012-02-28 |
| 1538729363 | Lisa Michelle Bosch | Dentist | 107 N Main St, Edina, MO 63537-1426 | 2019-06-14 |
| Find all providers in zip 63537 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958449 | Lewis County Health Department | Clinic/Center | 101 State Highway A, Monticello, MO 63457-1040 | 2019-02-19 |
| 1699031096 | Judy Elaine Knowlton | Clinic/Center | 1003 East Locust Street, Ripley County Health Center, Doniphan, MO 63935-8121 | 2012-04-10 |
| 1063782241 | Ripley County Public Health Department | Clinic/Center | Rr 8 Box 1478, Doniphan, MO 63935-8121 | 2012-01-05 |
| 1275775009 | Marion County Health Dept. & Home Health Agency | Clinic/Center | 3105 Rt. W, Hannibal, MO 63401-1378 | 2009-03-25 |
| 1134329816 | Cooper County Public Health Center | Clinic/Center | 606 E Spring St, Boonville, MO 65233-1523 | 2007-07-20 |
| 1861697955 | Truman Medical Center, Incorporated | Clinic/Center | 313 S Liberty St, Independence, MO 64050-3802 | 2007-06-19 |
| 1467554352 | Tri-county Health Department | Clinic/Center | 302 N Park St, Stanberry, MO 64489 | 2006-09-02 |
| 1477538825 | Cape Girardeau County Health Department | Clinic/Center | 1121 Linden St, Cape Girardeau, MO 63703-7708 | 2005-12-08 |
| 1649253105 | Douglas County Health Department | Clinic/Center | 603 Nw 12th St, Building C, Ava, MO 65608-0940 | 2005-11-29 |
| 1497749469 | Chariton County Health Dept. | Clinic/Center | 206 State St, Keytesville, MO 65261-1163 | 2005-09-07 |
| 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.