Provider Demographics
NPI:1114080108
Name:BUTLER COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:BUTLER COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-785-8478
Mailing Address - Street 1:1619 N MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901
Mailing Address - Country:US
Mailing Address - Phone:573-785-8478
Mailing Address - Fax:573-785-2825
Practice Address - Street 1:1619 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901
Practice Address - Country:US
Practice Address - Phone:573-785-8478
Practice Address - Fax:573-785-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare