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DOUGLAS COUNTY HEALTH DEPARTMENT
NPI 1649253105
Clinic/Center - Public Health, State or Local in Ava, MO

Active since November 29, 2005CLIA 26D0652418 · Waiver
603 NW 12TH ST, BUILDING C, AVA, MO 65608(417) 683-4174(417) 683-4111 Get Directions Write a Review

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

About Douglas County Health Department NPPES

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

DOUGLAS COUNTY HEALTH DEPARTMENT (NPI 1649253105) is a healthcare organization registered as a public health, state or local in Ava, Missouri and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sandra Pueppke, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649253105
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameDOUGLAS COUNTY HEALTH DEPARTMENT
Location Address603 NW 12TH ST, BUILDING CAva, MO 65608-0940
Mailing AddressPo Box 940, Building CAva, MO 65608-0940 · (417) 683-4174 · Fax (417) 683-4111
Phone(417) 683-4174
Fax(417) 683-4111
Organization SubpartNo
Authorized OfficialSandra PueppkeAdministrator · (417) 683-4174
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649253105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
603 NW 12TH ST, Ava, MO 65608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 26D0652418

Douglas County Health Department · Ava, MO
Active · expires Aug 31, 2026
CLIA Number26D0652418
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorElizabeth Hull
Laboratory Phone(417) 683-4174
Laboratory LocationDouglas County Health Department603 Springfield Rd, Ava, MO 65608
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is DOUGLAS COUNTY HEALTH DEPARTMENT's NPI number?

The NPI number assigned to this healthcare provider is 1649253105, enumerated as an "organization" on November 29, 2005.

Where is the provider located?

The provider is located at 603 NW 12TH ST BUILDING C AVA, MO 65608 and the phone number is (417) 683-4174.

What is the provider's specialty?

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

What insurance does DOUGLAS COUNTY HEALTH DEPARTMENT accept?

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