Healthcare Provider Details

I. General information

NPI: 1700972106
Provider Name (Legal Business Name): CARTER COUNTY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 HEALTH CENTER RD
VAN BUREN MO
63965-0070
US

IV. Provider business mailing address

PO BOX 70
VAN BUREN MO
63965-0070
US

V. Phone/Fax

Practice location:
  • Phone: 573-323-4413
  • Fax: 573-323-8489
Mailing address:
  • Phone:
  • Fax:

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. JANE HARNER
Title or Position: CLERK II
Credential:
Phone: 573-323-4413