Healthcare Provider Details

I. General information

NPI: 1164577326
Provider Name (Legal Business Name): BUTLER COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 N MAIN ST
POPLAR BLUFF MO
63901-3445
US

IV. Provider business mailing address

1619 N MAIN ST
POPLAR BLUFF MO
63901-3445
US

V. Phone/Fax

Practice location:
  • Phone: 573-785-8478
  • Fax: 573-785-2825
Mailing address:
  • Phone: 573-785-8478
  • Fax: 573-785-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT HUDSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 573-785-8478