Healthcare Provider Details

I. General information

NPI: 1770617995
Provider Name (Legal Business Name): CLINTON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BUSH ST.
PLATTSBURG MO
64477
US

IV. Provider business mailing address

106 BUSH ST.
PLATTSBURG MO
64477
US

V. Phone/Fax

Practice location:
  • Phone: 816-539-2144
  • Fax: 816-539-3306
Mailing address:
  • Phone: 816-539-2144
  • Fax: 816-539-3306

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. BLAIR E SHOCK
Title or Position: ADMINISTRATOR
Credential:
Phone: 816-539-2144