Provider Demographics
NPI:1891892980
Name:RAY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:RAY COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:RN ADMINISTRATOR
Authorized Official - Phone:816-776-5413
Mailing Address - Street 1:820 EAST LEXINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MO
Mailing Address - Zip Code:64085
Mailing Address - Country:US
Mailing Address - Phone:816-776-5413
Mailing Address - Fax:816-776-2441
Practice Address - Street 1:820 EAST LEXINGTON STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MO
Practice Address - Zip Code:64085
Practice Address - Country:US
Practice Address - Phone:816-776-5413
Practice Address - Fax:816-776-2441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO26615019OtherBLUE ADVANT MANAGED CARE
MO511176802Medicaid
MO710461OtherMOLINA HEALTHCARE OF MISSOURI
MO43179OtherMISSOURI CARE
MO37226OtherHEALTHCARE USA MC
MO720700OtherHEALTH PARTNERS MC
MO720700OtherCHILDRENS MERCY FAMILY
MOP00442774OtherRAILROAD MEDICARE (PGBA)
MO710461OtherMOLINA HEALTHCARE OF MISSOURI
MO26615019OtherBLUE ADVANT MANAGED CARE