| Adair County Health Dept | |
|
1001 S. Jamison St Kirksville MO 63501 | |
| (660) 665-8491 | |
| (660) 627-2913 |
| Full Name | Adair County Health Dept |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 S. Jamison St, Kirksville, Missouri |
| Authorized Official Name and Position | James Edward Lebaron (ADMINISTRATOR) |
| Authorized Official Contact | 6606658491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adair County Health Dept 1001 S. Jamison St Kirksville MO 63501 Ph: (660) 665-8491 | Adair County Health Dept 1001 S. Jamison St Kirksville MO 63501 Ph: (660) 665-8491 |
| NPI Number | 1265554935 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/30/2017 |
| Medicare PECOS PAC ID | 9335226398 |
|---|---|
| Medicare Enrollment ID | O20080402000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265554935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Secondary |
| Provider Name | Valena N Fiscus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386087757 PECOS PAC ID: 4486943636 Enrollment ID: I20201008000742 |
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