Provider Demographics
NPI:1629198304
Name:GASCONADE COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:GASCONADE COUNTY HEALTH DEPARTMENT
Other - Org Name:GASCONADE-OSAGE CO. HEALTH DEPT.
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-486-3129
Mailing Address - Street 1:300 SCHILLER ST
Mailing Address - Street 2:
Mailing Address - City:HERMANN
Mailing Address - State:MO
Mailing Address - Zip Code:65041-1154
Mailing Address - Country:US
Mailing Address - Phone:573-486-3129
Mailing Address - Fax:573-486-3745
Practice Address - Street 1:300 SCHILLER ST
Practice Address - Street 2:
Practice Address - City:HERMANN
Practice Address - State:MO
Practice Address - Zip Code:65041-1154
Practice Address - Country:US
Practice Address - Phone:573-486-3129
Practice Address - Fax:573-486-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare