Healthcare Provider Details

I. General information

NPI: 1972699353
Provider Name (Legal Business Name): BARTON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 EAST 12TH STREET
LAMAR MO
64759
US

IV. Provider business mailing address

1301 EAST 12TH STREET
LAMAR MO
64759
US

V. Phone/Fax

Practice location:
  • Phone: 417-682-3363
  • Fax: 417-682-5548
Mailing address:
  • Phone: 417-682-3363
  • Fax: 417-682-5548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JOEL E DERMOTT
Title or Position: ADMINISTRATION
Credential:
Phone: 417-682-3363