Provider Demographics
NPI:1114942935
Name:VERNON COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:VERNON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWOPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-667-7418
Mailing Address - Street 1:301 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-2344
Mailing Address - Country:US
Mailing Address - Phone:417-667-7418
Mailing Address - Fax:417-667-4131
Practice Address - Street 1:301 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:MO
Practice Address - Zip Code:64772-2344
Practice Address - Country:US
Practice Address - Phone:417-667-7418
Practice Address - Fax:417-667-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO9003950Medicare ID - Type Unspecified