MISSISSIPPI COUNTY HEALTH DEPARTMENT
NPI 1023210648
Public Health or Welfare in Charleston, MO

Q: What is Mississippi County Health Department's NPI number?

The NPI number for Mississippi County Health Department is 1023210648. It was assigned to this organization in the NPPES registry on June 5, 2007.

Q: What is Mississippi County Health Department's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Active since June 05, 2007CLIA 26D0666353 · Waiver

1200 E MARSHALL ST, CHARLESTON, MO 63834(573) 683-2191(573) 683-6539 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Jan 18, 2017 (2 updates tracked since 2017).

On this page

About Mississippi County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSISSIPPI COUNTY HEALTH DEPARTMENT (NPI 1023210648) is a healthcare organization registered as a public health or welfare in Charleston, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rachelle Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023210648

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameMISSISSIPPI COUNTY HEALTH DEPARTMENT

Location Address1200 E MARSHALL STCharleston, MO 63834-1336

Mailing Address1200 E Marshall StCharleston, MO 63834-1336 · (573) 683-2191 · Fax (573) 683-6539

Phone(573) 683-2191

Fax(573) 683-6539

Organization SubpartNo

Authorized OfficialRachelle JohnsonAdministrator · (573) 683-2191

Enumeration DateJune 5, 2007

Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1023210648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

Licenses✔ Licensed in MO · 33173✔ Licensed in MO · 126551

1200 E MARSHALL ST, Charleston, MO 63834

Open in Google Maps ↗

Other Names 1

Doing Business AsMississippi County Health Department

Other Identifiers 3

Medicaid425384823MO

Medicaid209992403MO

Medicaid357290501MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0666353

Mississippi County Health Department · Charleston, MO

Active · expires Aug 31, 2026

CLIA Number26D0666353

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorRachelle Johnson

Laboratory Phone(573) 683-2191

Laboratory LocationMississippi County Health Department1200 E Marshall St, Charleston, MO 63834

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

166 services163 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

161 services158 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

46 services46 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

45 services45 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRA GUNN RD

Dietitian, Registered