Organization
KNOX COUNTY HEALTH DEPARTMENT
Active
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
251E00000X
Home Health Agency
Primary
148-31HH
MO
251K00000X
Public Health or Welfare Agency
—
MO
261QP0905X
State or Local Public Health Clinic/Center
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581942505
—
MO
Enumeration date
11/11/2005
Last updated
08/04/2021
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