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CLARK COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY
NPI 1629105580
Home Health in Kahoka, MO

Active since February 27, 2007CLIA 26D0665794 · Waiver
670 N JOHNSON ST, KAHOKA, MO 63445(660) 727-2356(660) 727-2927 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark County Health Department Home Health Agency NPPES

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

CLARK COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY (NPI 1629105580) is a healthcare organization registered as a home health in Kahoka, Missouri and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists M Evelena Sutterfield, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629105580
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Location Address670 N JOHNSON STKahoka, MO 63445-1430
Mailing Address670 N Johnson St, Po Box 12Kahoka, MO 63445-1430 · (660) 727-2356 · Fax (660) 727-2927
Phone(660) 727-2356
Fax(660) 727-2927
Organization SubpartNo
Authorized OfficialM Evelena SutterfieldAdministrator · (660) 727-2356
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 26, 2013
✔ NPI 1629105580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MO · 00011006
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
670 N JOHNSON ST, Kahoka, MO 63445
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Other Names 1

Doing Business AsClark County Health Department Home Health Agency

Other Identifiers 5

Medicare ID-Type Unspecified267025MO · Home Health
Other30087MO · Anthem Bcbs Home Health
Other733192MO · Healthlink Home Health
Medicaid580562700MO
Other267025MO · Va Home Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 26D0665794

Clark County Health Department · Kahoka, MO
Active · expires Mar 19, 2028
CLIA Number26D0665794
Laboratory TypeLocal Public Health Agenc
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorBrigitte R. Cormier
Laboratory Phone(660) 727-2356
Laboratory LocationClark County Health Department670 North Johnson Street, Kahoka, MO 63445
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 3

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

CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Homemaker
670 N JOHNSON ST
KAHOKA, MO 63445
Clark County (660) 727-2356
CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Home Health Aide
670 N JOHNSON ST
KAHOKA, MO 63445
Clark County (660) 727-2356
CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Public Health or Welfare
670 N JOHNSON ST
KAHOKA, MO 63445
Clark County (660) 727-2356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark County Nursing Service & Home Health Agency's NPI number?

The NPI number for Clark County Nursing Service & Home Health Agency is 1629105580. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Clark County Health Department Home Health Agency.

Where is Clark County Nursing Service & Home Health Agency located?

Clark County Nursing Service & Home Health Agency is located at 670 N Johnson St, Kahoka, MO 63445. The listed phone number is (660) 727-2356.

What is Clark County Nursing Service & Home Health Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Clark County Nursing Service & Home Health Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0665794) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clark County Nursing Service & Home Health Agency accept?

Health plans from Anthem Blue Cross and Blue Shield list Clark County Nursing Service & Home Health Agency as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark County Nursing Service & Home Health Agency was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.