# KNOX COUNTY HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1871574210
- **Authorized official:** LORI R MOOTS-CLAIR (ADMINISTRATOR)
- **Authorized official phone:** (660) 397-3396

## Contact information

- **Practice address:** 102 W MONTICELLO ST, EDINA, MO 63537-1150
- **Practice address phone:** (660) 397-3396
- **Practice address fax:** (660) 397-3579
- **Mailing address:** 102 W MONTICELLO ST, EDINA, MO 63537-1150
- **Mailing address phone:** (660) 397-3396
- **Mailing address fax:** (660) 397-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 148-31HH | MO | Yes |
| 251K00000X | Public Health or Welfare Agency | — | MO | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | MO | — |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 08/04/2021