# RANDOLPH COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326574567
- **Authorized official:** SHARON WHISENAND (FINANCIAL OFFICER)
- **Authorized official phone:** (660) 263-6643

## Contact information

- **Practice address:** 1319 E HIGHWAY 24, MOBERLY, MO 65270-3682
- **Practice address phone:** (660) 263-6643
- **Practice address fax:** (660) 263-0333
- **Mailing address:** 1319 E HIGHWAY 24, MOBERLY, MO 65270-3682
- **Mailing address phone:** (660) 263-6643
- **Mailing address fax:** (660) 263-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2017
- **Last updated:** 05/09/2017
