Organization
JOHNSON COUNTY COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K HALLER RN, BSN (ADMINISTRATOR)
(660) 747-6121
Entity
Organization
Contact information
Practice address
723 PCA RD, WARRENSBURG, MO 64093-7913
(660) 747-6121
(660) 747-6087
Mailing address
723 PCA RD, WARRENSBURG, MO 64093-7913
(660) 747-6121
(660) 747-6087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07818012
BCBS-FEP
MO
01
—
54672
HEALTHCARE USA
MO
05
—
580621902
—
MO
01
—
720300
TRICARE
MO
01
—
90107015
BCBS
MO
Enumeration date
06/20/2005
Last updated
12/05/2012
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