Provider Demographics
NPI:1417921420
Name:ST FRANCOIS COUNTY HEALTH CENTER
Entity Type:Organization
Organization Name:ST FRANCOIS COUNTY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN
Authorized Official - Phone:573-431-1947
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:1025 WEST MAIN STREET
Mailing Address - City:PARK HILLS
Mailing Address - State:MO
Mailing Address - Zip Code:63601-0397
Mailing Address - Country:US
Mailing Address - Phone:573-431-1947
Mailing Address - Fax:573-431-7326
Practice Address - Street 1:1025 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:PARK HILLS
Practice Address - State:MO
Practice Address - Zip Code:63601-0397
Practice Address - Country:US
Practice Address - Phone:573-431-1947
Practice Address - Fax:573-431-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000015497OtherMEDICARE
MO511888406Medicaid
MO000045007Medicare PIN