Provider Demographics
NPI:1972699353
Name:BARTON COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:BARTON COUNTY HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-682-3363
Mailing Address - Street 1:1301 EAST 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:MO
Mailing Address - Zip Code:64759
Mailing Address - Country:US
Mailing Address - Phone:417-682-3363
Mailing Address - Fax:417-682-5548
Practice Address - Street 1:1301 EAST 12TH STREET
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759
Practice Address - Country:US
Practice Address - Phone:417-682-3363
Practice Address - Fax:417-682-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
Yes251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO261146005Medicaid
MO511146003Medicaid
MO281146001Medicaid
MO30093OtherBLUE CROSS BLUE SHIELD
MO11521OtherHOME HEALTH LIC
MO581146008Medicaid
MO261146005Medicaid