Douglas County Health Department | |
603 Nw 12th St Building C Ava MO 65608-0940 | |
(417) 683-4174 | |
(417) 683-4111 |
Full Name | Douglas County Health Department |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 603 Nw 12th St, Ava, Missouri |
Authorized Official Name and Position | Sandra Pueppke (ADMINISTRATOR) |
Authorized Official Contact | 4176834174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglas County Health Department Po Box 940 Building C Ava MO 65608-0940 Ph: (417) 683-4174 | Douglas County Health Department 603 Nw 12th St Building C Ava MO 65608-0940 Ph: (417) 683-4174 |
NPI Number | 1649253105 |
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Provider Enumeration Date | 11/29/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649253105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |