DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY

MEDICARE: CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency00011006MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130087OTHERMOANTHEM BCBS HOME HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3267025OTHERMOVA HOME HEALTH
4733192OTHERMOHEALTHLINK HOME HEALTH

General Provider Information

NPI Number : 1629105580
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Provider Business Mailing Address
First Line : 670 N JOHNSON ST
Second Line : PO BOX 12
City : KAHOKA
State : MO
Zip : 63445-1430
Country : US
Telephone Number : 660-727-2356
Fax Number : 660-727-2927
Provider Business Practice Location Address
First Line : 670 N JOHNSON ST
Second Line :
City : KAHOKA
State : MO
Zip : 63445-1430
Country : US
Telephone Number : 660-727-2356
Fax Number : 660-727-2927
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. M EVELENA SUTTERFIELD
Credential : RN
Telephone Number : 660-727-2356
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/26/2013

Similar Medicare Providers

1992790398 — CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Practice Location Address:
670 N JOHNSON ST
KAHOKA, MO
63445-1430
Practice Phone: 660-727-2356
Practice Fax: 660-727-2927
1851428593 — CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Practice Location Address:
670 N JOHNSON ST
KAHOKA, MO
63445-1430
Practice Phone: 660-727-2356
Practice Fax:
1629261680 — CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Practice Location Address:
670 N JOHNSON ST
KAHOKA, MO
63445-1430
Practice Phone: 660-727-2356
Practice Fax:
1326964594 — SCOTLAND COUNTY MEMORIAL HOSPITAL DBA KAHOKA MEDICAL SERVICES
Practice Location Address:
374 W COMMERCIAL ST
KAHOKA, MO
63445-1453
Practice Phone: 660-465-8513
Practice Fax:
1184540254 — HAPPY FEET PODIATRY LLC
Practice Location Address:
107 W COMMERCIAL ST
KAHOKA, MO
63445-1411
Practice Phone: 660-727-6890
Practice Fax: 660-727-6249
1700710472 — BREE DENISE PLENGE COTA/L
Practice Location Address:
120 S JOHNSON ST
KAHOKA, MO
63445-1657
Practice Phone: 660-727-2722
Practice Fax:

Directions to “CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.