Organization
CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Active
Other names
Clark County Health Department Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. M EVELENA SUTTERFIELD RN (ADMINISTRATOR)
(660) 727-2356
Entity
Organization
Contact information
Practice address
670 N JOHNSON ST, KAHOKA, MO 63445-1430
(660) 727-2356
(660) 727-2927
Mailing address
670 N JOHNSON ST, PO BOX 12, KAHOKA, MO 63445-1430
(660) 727-2356
(660) 727-2927
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00011006
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267025
VA HOME HEALTH
MO
01
—
30087
ANTHEM BCBS HOME HEALTH
MO
05
—
580562700
—
MO
01
—
733192
HEALTHLINK HOME HEALTH
MO
Enumeration date
02/27/2007
Last updated
03/26/2013
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