Provider Demographics
NPI:1346246212
Name:CLAY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CLAY COUNTY HEALTH DEPARTMENT
Other - Org Name:CLAY COUNTY PUBLIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-200-3103
Mailing Address - Street 1:800 HAINES DR.
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068
Mailing Address - Country:US
Mailing Address - Phone:816-595-4208
Mailing Address - Fax:816-595-4201
Practice Address - Street 1:800 HAINES DR.
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068
Practice Address - Country:US
Practice Address - Phone:816-595-4208
Practice Address - Fax:816-595-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO304540Medicaid
MO700887Medicaid
MO205045909Medicaid
MO23796015Medicaid
MO720600Medicaid
MO35649Medicaid
MO510903800Medicaid