JEFFERSON COUNTY HEALTH DEPARTMENT (NPI# 1588722383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588722383 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY HEALTH DEPARTMENT |
| Practice Address |
214 South Main Street Boulder MT 59632 |
| Mailing Address |
P.o. Box 872 Boulder MT 59632 |
| Practice Telephone | 4062254007 |
| Practice Fax Number | 4062254108 |
| Mailing Telephone | 4062254007 |
| Mailing Fax Number | 4062254108 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | KAREN P DOBSON WANDEL (SUPERVISOR) |
| Authorized Official Telephone | 4062254009 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | 6901 | MT | Agencies |
| Y | 251K00000X | Public Health or Welfare | MT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 3506607 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891716783 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St, Suite C, Madras, OR 97741-1022 | 2006-07-23 |
| 1063561959 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St Ste C, Madras, OR 97741-1022 | 2007-01-09 |
| 1174672067 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St Ste C, Madras, OR 97741-1022 | 2007-01-09 |
| 1144385154 | Jefferson County Health Department | Home Health | 715 Green Rd, Madison, IN 47250-2143 | 2006-12-27 |
| 1538228200 | Jefferson County Health Department | Technician | N3995 Annex Road, Jefferson, WI 53549-9618 | 2006-12-08 |
| 1235298902 | Jefferson County Health Department | Home Health | N3995 Annex Road, Jefferson, WI 53549-9618 | 2006-12-08 |
| 1235118324 | Jefferson County Health Department | Public Health or Welfare | 405 Main Street, Hillsboro, MO 63050 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON COUNTY HEALTH DEPARTMENT | 1 Doctors Park Rd Ste F, Mount Vernon, IL 62864-6291 |
| Street Address |
214 SOUTH MAIN STREET |
| City | BOULDER |
| State | MT |
| Zip Code | 59632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
| 1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
| 1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
| 1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
| 1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
| 1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
| 1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
| 1043396054 | Elkhorn Mountain Health Services Inc | Family Medicine | 214 South Main, Boulder, MT 59632 | 2006-10-31 |
| 1255413381 | St. James Healthcare | Family Medicine | 214 S Main St, Boulder, MT 59632 | 2006-10-19 |
| Find all providers in zip 59632 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093857906 | Boulder County Public Health | Public Health or Welfare | 3470 Broadway St, Boulder, CO 80304-1824 | 2007-02-14 |
| 1447254313 | Boulder County Public Health | Public Health or Welfare | 3482 Broadway St, Boulder, CO 80304-1824 | 2005-06-09 |
| 1649560004 | Boulder County Public Health | Public Health or Welfare | 3180 Airport Rd, Boulder, CO 80301-2208 | 2011-04-19 |
| 1477754521 | Mental Health Center Boulder County | Public Health or Welfare | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182966 | Community Solutions Incorporated | Public Health or Welfare | 207 N Broadway Ste 110, Billings, MT 59101-1951 | 2019-09-05 |
| 1336493642 | Sanders County Health Department | Public Health or Welfare | 1111 Main St., Thompson Falls, MT 59873-0519 | 2012-11-08 |
| 1225305444 | Memorial Hospital Association | Public Health or Welfare | 206 N Broadway Ave, Red Lodge, MT 59068-9369 | 2011-11-17 |
| 1245565837 | Cabinet View Fire Department | Public Health or Welfare | 352 Luscher Dr, Libby, MT 59923-9692 | 2009-10-15 |
| 1578747689 | Granite County | Public Health or Welfare | 212 W. Front St., Drummond, MT 59832 | 2007-12-26 |
| 1902089550 | County of Fallon | Public Health or Welfare | 205 S 4th Street W, Baker, MT 59313-0820 | 2007-12-06 |
| 1821287186 | County of Beaverhead | Public Health or Welfare | 41 Barrett St, Dillon, MT 59725-3519 | 2007-10-23 |
| 1699967489 | County of Chouteau | Public Health or Welfare | 1020 13th Str, Fort Benton, MT 59442-0459 | 2007-08-15 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1881811693 | County of Blaine | Public Health or Welfare | 420a Ohio, Chinook, MT 59523-0516 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.