Healthcare Provider Details

I. General information

NPI: 1497756167
Provider Name (Legal Business Name): LAFAYETTE COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 S. BUSINESS HWY. 13
LEXINGTON MO
64067-1437
US

IV. Provider business mailing address

547 S. BUSINESS HWY. 13
LEXINGTON MO
64067-1437
US

V. Phone/Fax

Practice location:
  • Phone: 660-259-4371
  • Fax: 660-259-6250
Mailing address:
  • Phone: 660-259-4371
  • Fax: 660-259-6250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS M. EMERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 660-259-4371