Organization
KNOX COUNTY HEALTH DEPARTMENT
Active
Organization
KNOX COUNTY HEALTH DEPARTMENT
Active
Other names
Knox County Health Department Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
LORI R MOOTS-CLAIR (ADMINISTRATOR)
(660) 397-3396
Entity
Organization
Contact information
Practice address
102 W MONTICELLO ST, EDINA, MO 63537-1150
(660) 397-3396
(660) 397-3579
Mailing address
102 W MONTICELLO ST, EDINA, MO 63537-1150
(660) 397-3396
(660) 397-3579
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
MO
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581942505
—
MO
Enumeration date
10/30/2017
Last updated
07/22/2020
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