Provider Demographics
NPI:1639291289
Name:MARION COUNTY HEALTH DEPT & HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:MARION COUNTY HEALTH DEPT & HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:HYNEK
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:573-221-1166
Mailing Address - Street 1:PO BOX 1378
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-1378
Mailing Address - Country:US
Mailing Address - Phone:573-221-1166
Mailing Address - Fax:573-221-1214
Practice Address - Street 1:3105 RT W
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401
Practice Address - Country:US
Practice Address - Phone:573-221-1166
Practice Address - Fax:573-221-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO53-22251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health