Provider Demographics
NPI:1942404108
Name:COUNTY OF NEWTON
Entity Type:Organization
Organization Name:COUNTY OF NEWTON
Other - Org Name:NEWTON COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-451-3743
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:812 W HARMONY
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-0447
Mailing Address - Country:US
Mailing Address - Phone:417-451-3743
Mailing Address - Fax:417-451-1852
Practice Address - Street 1:812 W HARMONY
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-0447
Practice Address - Country:US
Practice Address - Phone:417-451-3743
Practice Address - Fax:417-451-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO33572251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO240291104Medicaid
MO511959108Medicaid
MO511959108Medicaid