Organization
MADISON COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICA K WHITE (BILLING SUPERVISOR)
(573) 783-2747
Entity
Organization
Contact information
Practice address
105 ARMORY ST, FREDERICKTOWN, MO 63645-1341
(573) 783-2747
(573) 783-8039
Mailing address
105 ARMORY ST, FREDERICKTOWN, MO 63645-1341
(573) 783-2747
(573) 783-8039
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447200746
HEALTHLINK,
MO
01
—
1447200746
HUMANA
—
05
—
1447200746
—
MO
Enumeration date
05/10/2006
Last updated
10/19/2021
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