Healthcare Provider Details

I. General information

NPI: 1114174935
Provider Name (Legal Business Name): DADE COUNTY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W WATER ST
GREENFIELD MO
65661-1353
US

IV. Provider business mailing address

413 W WATER ST
GREENFIELD MO
65661-1353
US

V. Phone/Fax

Practice location:
  • Phone: 417-637-2345
  • Fax: 417-637-2507
Mailing address:
  • Phone: 417-637-2345
  • Fax: 417-637-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISHA J MASTERSON
Title or Position: INSURANCE BILLING
Credential:
Phone: 417-637-2345