Provider Demographics
NPI:1558415547
Name:BUTLER COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:BUTLER COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-785-8478
Mailing Address - Street 1:1619 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-3445
Mailing Address - Country:US
Mailing Address - Phone:573-785-8478
Mailing Address - Fax:573-785-2825
Practice Address - Street 1:1619 N MAIN ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-3445
Practice Address - Country:US
Practice Address - Phone:573-785-8478
Practice Address - Fax:573-785-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251K00000XAgenciesPublic Health or Welfare