MEDICARE: STONE COUNTY HEALTH DEPARTMENT

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
1	251K00000X	Public Health or Welfare Agency	511209207	MO

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

General Provider Information

NPI Number	:	1790804128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONE COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	701 OLD WILDERNESS RD
Second Line	:
City	:	REEDS SPRING
State	:	MO
Zip	:	65737-8626
Country	:	US
Telephone Number	:	417-272-0050
Fax Number	:	417-272-9058

Provider Business Practice Location Address
First Line	:	701 OLD WILDERNESS RD
Second Line	:
City	:	REEDS SPRING
State	:	MO
Zip	:	65737-8626
Country	:	US
Telephone Number	:	417-272-0050
Fax Number	:	417-272-9058

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MARIA L. WELLS
Credential	:
Telephone Number	:	417-272-0050

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	11/12/2024

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Directions to “STONE COUNTY HEALTH DEPARTMENT ” Practice Location

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