Provider Demographics
NPI:1861958449
Name:LEWIS COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:LEWIS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-767-5312
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MO
Mailing Address - Zip Code:63457-1040
Mailing Address - Country:US
Mailing Address - Phone:573-767-5312
Mailing Address - Fax:573-767-5301
Practice Address - Street 1:101 STATE HIGHWAY A
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MO
Practice Address - Zip Code:63457-1040
Practice Address - Country:US
Practice Address - Phone:573-767-5312
Practice Address - Fax:573-767-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local