# PETTIS COUNTY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pettis County Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417924606
- **Authorized official:** MRS. JOANN F MARTIN APRN, CPNP, MSN RN (ADMINISTRATOR)
- **Authorized official phone:** (660) 827-1130

## Contact information

- **Practice address:** 911 E 16TH ST, SEDALIA, MO 65301-7733
- **Practice address phone:** (660) 827-1130
- **Practice address fax:** (660) 827-1141
- **Mailing address:** 911 E 16TH ST, SEDALIA, MO 65301-7733
- **Mailing address phone:** (660) 827-1130
- **Mailing address fax:** (660) 827-1141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | N/A | MO | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 03/22/2012
