NODAWAY COUNTY HEALTH CENTER NPI 1003001322

Public Health or Welfare in Maryville, MO

Organization Public Health or Welfare CLIA Number 26D0667957 CLIA Certificate of Waiver

About NODAWAY COUNTY HEALTH CENTER

Nodaway County Health Center is a provider established in Maryville, Missouri specializing in public health or welfare. The NPI number of Nodaway County Health Center is 1003001322 and was assigned on September 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Della Rhoades (Administrator)

The CLIA number of Nodaway County Health Center is 26D0667957 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Nodaway County Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003001322

Provider NameNODAWAY COUNTY HEALTH CENTER
Provider Location Address515 N MAIN ST MARYVILLE, MO 64468
Provider Mailing Address515 N MAIN ST MARYVILLE, MO 64468
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-10-2007
Last Update Date09-10-2007

Primary Taxonomy

Taxonomy Code251K00000X
ClassificationPublic Health or Welfare
TypeAgencies

Business Address

NODAWAY COUNTY HEALTH CENTER
515 N MAIN ST
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2755
Fax: (660) 562-4995

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Mailing Address

NODAWAY COUNTY HEALTH CENTER
515 N MAIN ST
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2755
Fax: (660) 562-4995

Authorized Official

Authorized Official NameMRS. DELLA RHOADES
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(660) 562-2755

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003001322 is:

CLIA Number26D0667957
Facility TypeOTHER
Certificate TypeCertificate of Waiver

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.