Organization
HICKORY COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN VADER (ADMINISTRATOR)
(417) 745-2138
Entity
Organization
Contact information
Practice address
24885 STATE HWY 254, HERMITAGE, MO 65668-0144
(417) 745-2138
(417) 745-2400
Mailing address
PO BOX 21, HERMITAGE, MO 65668-0021
(417) 745-2138
(417) 745-2400
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511297202
—
MO
Enumeration date
02/23/2007
Last updated
05/24/2024
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