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KNOX COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY
NPI 1417469537
Clinic/Center - Public Health, State or Local in Edina, MO

Active since October 30, 2017CLIA 26D0441636 · Waiver
102 W MONTICELLO ST, EDINA, MO 63537(660) 397-3396(660) 397-3579 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2020, Oct 30, 2017 (2 updates tracked since 2017).

About Knox County Health Department Home Health Agency NPPES

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

KNOX COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY (NPI 1417469537) is a healthcare organization registered as a public health, state or local in Edina, Missouri and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lori R Moots-clair, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417469537
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameKNOX COUNTY HEALTH DEPARTMENT
Location Address102 W MONTICELLO STEdina, MO 63537-1150
Mailing Address102 W Monticello StEdina, MO 63537-1150 · (660) 397-3396 · Fax (660) 397-3579
Phone(660) 397-3396
Fax(660) 397-3579
Organization SubpartNo
Authorized OfficialLori R Moots-clairAdministrator · (660) 397-3396
Enumeration DateOctober 30, 2017
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1417469537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
102 W MONTICELLO ST, Edina, MO 63537
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Other Names 1

Doing Business AsKnox County Health Department Home Health Agency

Other Identifiers 1

Medicaid581942505MO

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 26D0441636

Knox County Health Department · Edina, MO
Active · expires Aug 31, 2026
CLIA Number26D0441636
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLori Moots-Clair
Laboratory Phone(660) 397-3396
Laboratory LocationKnox County Health Department102 W Monticello, Edina, MO 63537
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KNOX COUNTY HEALTH DEPARTMENT
Home Health
102 W MONTICELLO ST
EDINA, MO 63537
Knox County (660) 397-3396

Frequently Asked Questions

What is KNOX COUNTY HEALTH DEPARTMENT's NPI number?

The NPI number assigned to this healthcare provider is 1417469537, enumerated as an "organization" on October 30, 2017.

Where is the provider located?

The provider is located at 102 W MONTICELLO ST EDINA, MO 63537 and the phone number is (660) 397-3396.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

What insurance does KNOX COUNTY HEALTH DEPARTMENT accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.