Provider Demographics
NPI:1447200746
Name:MADISON COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:MADISON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-783-2747
Mailing Address - Street 1:105 ARMORY ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63645-1341
Mailing Address - Country:US
Mailing Address - Phone:573-783-2747
Mailing Address - Fax:573-783-8039
Practice Address - Street 1:105 ARMORY ST
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:MO
Practice Address - Zip Code:63645-1341
Practice Address - Country:US
Practice Address - Phone:573-783-2747
Practice Address - Fax:573-783-8039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447200746OtherHUMANA
MO1447200746OtherHEALTHLINK,
MO1447200746OtherAETNA
1447200746OtherNEW ERA LIFE INSURANCE COMPANY
MO1447200746OtherANTHEM BCBS
MO1447200746OtherUNITED HEALTHCARE
MO1447200746OtherAMBETTER-HOME STATE HEALTH
MO1447200746Medicaid
MO1447200746OtherHARMONY HEALTHCARE
MO1447200746OtherCIGNA
MO1447200746OtherGOLDEN RULE
MO1447200746OtherCOX HEALTH PLAN
MO1447200746OtherPHYSICIANS HEALTH PLAN-GLOBAL CARE
MO1447200746OtherMISSOURI CARE PLAN
1447200746OtherTRICARE
MO1447200746OtherHEALTHCARE USA
MO1447200746OtherMERITAIN HEALTH
MO1447200746OtherMERCY HEALTH PLAN
MO1447200746OtherCARE IMPROVEMENT PLUS
MO1447200746OtherALL SAVERS INSURANCE CO
MO1447200746OtherUMR
MO1447200746OtherMOLINA HEALTHCARE
MO1447200746OtherSECURE HORIZAN