Organization
PIKE COUNTY HEALTH DEPARTMENT, HOME CARE AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA STUMBAUGH R.N. (ADMINISTRATOR)
(573) 324-2111
Entity
Organization
Contact information
Practice address
19 N MAIN CROSS ST, BOWLING GREEN, MO 63334-1643
(573) 324-2111
(573) 324-5517
Mailing address
19 N MAIN CROSS ST, BOWLING GREEN, MO 63334-1643
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261646707
—
MO
05
—
281646703
—
MO
Enumeration date
04/30/2007
Last updated
07/13/2017
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