Provider Demographics
NPI:1255640710
Name:OSAGE COUNTY CLERK
Entity type:Organization
Organization Name:OSAGE COUNTY CLERK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-897-3103
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:LINN
Mailing Address - State:MO
Mailing Address - Zip Code:65051-0533
Mailing Address - Country:US
Mailing Address - Phone:573-897-2139
Mailing Address - Fax:573-897-4915
Practice Address - Street 1:1218 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LINN
Practice Address - State:MO
Practice Address - Zip Code:65051-2504
Practice Address - Country:US
Practice Address - Phone:573-897-3103
Practice Address - Fax:573-897-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008010325251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare