# MADISON COUNTY HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1447200746
- **Authorized official:** ALICA K WHITE (BILLING SUPERVISOR)
- **Authorized official phone:** (573) 783-2747

## Contact information

- **Practice address:** 105 ARMORY ST, FREDERICKTOWN, MO 63645-1341
- **Practice address phone:** (573) 783-2747
- **Practice address fax:** (573) 783-8039
- **Mailing address:** 105 ARMORY ST, FREDERICKTOWN, MO 63645-1341
- **Mailing address phone:** (573) 783-2747
- **Mailing address fax:** (573) 783-8039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 10/19/2021
