Organization
MARION COUNTY HEALTH DEPT. & HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DOUGLAS ST. CLAIR (ENVIRONMENTAL PUBLIC HEALTH SPECIAL)
(573) 221-1166
Entity
Organization
Contact information
Practice address
3105 RT. W, HANNIBAL, MO 63401-1378
(573) 221-1166
(573) 221-1214
Mailing address
P.O. BOX 1378, 3105 RT W, HANNIBAL, MO 63401-1378
(573) 221-1166
(573) 221-1214
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
000702-200023896
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394653950
LEAD PROGRAM
MO
Enumeration date
03/25/2009
Last updated
03/25/2009
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