Provider Demographics
NPI:1528198587
Name:TRI- COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:TRI- COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:RN ADMINISTRATOR
Authorized Official - Phone:660-783-2707
Mailing Address - Street 1:302 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:STANBERRY
Mailing Address - State:MO
Mailing Address - Zip Code:64489-1246
Mailing Address - Country:US
Mailing Address - Phone:660-783-2707
Mailing Address - Fax:660-783-2775
Practice Address - Street 1:302 N PARK ST
Practice Address - Street 2:
Practice Address - City:STANBERRY
Practice Address - State:MO
Practice Address - Zip Code:64489-1246
Practice Address - Country:US
Practice Address - Phone:660-783-2707
Practice Address - Fax:660-783-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO394846109Medicaid