Provider Demographics
NPI:1740225382
Name:CHRISTIAN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CHRISTIAN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-581-7285
Mailing Address - Street 1:301 E BRICK ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-6682
Mailing Address - Country:US
Mailing Address - Phone:417-581-7285
Mailing Address - Fax:417-581-6130
Practice Address - Street 1:301 E BRICK ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-6682
Practice Address - Country:US
Practice Address - Phone:417-581-7285
Practice Address - Fax:417-581-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare