Healthcare Provider Details

I. General information

NPI: 1689877359
Provider Name (Legal Business Name): NEW MADRID COUNTY HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 US HIGHWAY 61
NEW MADRID MO
63869-1642
US

IV. Provider business mailing address

406 US HIGHWAY 61
NEW MADRID MO
63869-1642
US

V. Phone/Fax

Practice location:
  • Phone: 573-748-5541
  • Fax: 573-748-5996
Mailing address:
  • Phone: 573-748-5541
  • Fax: 573-748-5996

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: MRS. JAYNE F DEES
Title or Position: ADMINISTRATOR
Credential:
Phone: 573-748-5541