Provider Demographics
NPI:1780656199
Name:WASHINGTON COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:WASHINGTON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK TYPIST 1
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:VERCILLE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-438-2164
Mailing Address - Street 1:520 PURCELL RD
Mailing Address - Street 2:
Mailing Address - City:POTOSI
Mailing Address - State:MO
Mailing Address - Zip Code:63664-1598
Mailing Address - Country:US
Mailing Address - Phone:573-438-2164
Mailing Address - Fax:573-438-4759
Practice Address - Street 1:520 PURCELL RD
Practice Address - Street 2:
Practice Address - City:POTOSI
Practice Address - State:MO
Practice Address - Zip Code:63664-1598
Practice Address - Country:US
Practice Address - Phone:573-438-2164
Practice Address - Fax:573-438-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare