| Marion County Health Dept. & Home Health Agency | |
|
3105 Rt. W Hannibal MO 63401-1378 | |
| (573) 221-1166 | |
| (573) 221-1214 |
| Full Name | Marion County Health Dept. & Home Health Agency |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 3105 Rt. W, Hannibal, Missouri |
| Authorized Official Name and Position | Stephen Douglas St. Clair (ENVIRONMENTAL PUBLIC HEALTH SPECIAL) |
| Authorized Official Contact | 5732211166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion County Health Dept. & Home Health Agency P.o. Box 1378 3105 Rt W Hannibal MO 63401-1378 Ph: (573) 221-1166 | Marion County Health Dept. & Home Health Agency 3105 Rt. W Hannibal MO 63401-1378 Ph: (573) 221-1166 |
| NPI Number | 1275775009 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275775009 | NPI | - | NPPES |
| 394653950 | Other | MO | LEAD PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 000702-200023896 (Missouri) | Primary |
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