RANDOLPH COUNTY HEALTH DEPARTMENT (NPI# 1568499085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568499085 |
| 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 | 2006-06-28 |
| 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 | 251E00000X | Home Health | MO | Agencies | |
| N | 251K00000X | Public Health or Welfare | MO | Agencies | |
| N | 251E00000X | Home Health | 26-7086 | MO | Agencies |
| Y | 251E00000X | Home Health | 26-7086 | Agencies |
| 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 |
| 1194805267 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2006-10-16 |
| 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 |
| 1194805267 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2006-10-16 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720474612 | Randolph County Health Department | Home Health | 423 E Logan St, Moberly, MO 65270-2222 | 2015-04-08 |
| 1700919941 | N&co Homecare LLC | Home Health | 102 West Reed Street, Moberly, MO 65270-1555 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| 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.