MEDICARE: RALLS COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2083P0901X	Public Health & General Preventive Medicine Physician
2	208D00000X	General Practice Physician
3	261QP0905X	State or Local Public Health Clinic/Center
4	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497787030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALLS COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	405 W. FIRST ST.
Second Line	:	PO BOX 434
City	:	NEW LONDON
State	:	MO
Zip	:	63459
Country	:	US
Telephone Number	:	573-985-7121
Fax Number	:	573-985-1531

Provider Business Practice Location Address
First Line	:	405 W. FIRST ST.
Second Line	:
City	:	NEW LONDON
State	:	MO
Zip	:	63459
Country	:	US
Telephone Number	:	573-985-7121
Fax Number	:	573-985-1531

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MAEKAYLA WILER
Credential	:	BSN, RN
Telephone Number	:	573-985-7121

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/28/2023

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Directions to “RALLS COUNTY HEALTH DEPARTMENT ” Practice Location

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