JEFFERSON COUNTY (NPI# 1790843787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790843787 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY |
| Other Organization Name | JEFFERSON COUNTY PUBLIC HEALTH |
| Practice Address |
645 Parfet St Lakewood CO 80215-5574 |
| Practice Telephone | 3032715700 |
| Practice Fax Number | 3032715702 |
| Mailing Telephone | 3032715700 |
| Mailing Fax Number | 3032715702 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | DR. MARK BERNARR JOHNSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3032715700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | CO | Agencies | |
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04005567 | 05 | |
| CO | 71504346 | 05 | |
| CO | 80335730 | 05 | |
| CO | 04412094 | 05 | |
| CO | MEDICARE PTAN | 288106 | 01 |
| Other Name | Type Code |
|---|---|
| Jefferson County Public Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124224977 | Jefferson County | Local Education Agency (LEA) | 2100 18th St S, Birmingham, AL 35209-1296 | 2007-06-26 |
| 1235253907 | Jefferson County | Public Health or Welfare | 1 Doctors Park Rd Ste F, Mount Vernon, IL 62864-6291 | 2007-03-19 |
| 1578562286 | Jefferson County | Clinic/Center | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2005-07-15 |
| 1629075866 | Jefferson County | Home Health | 200 W Briggs Ave, Fairfield, IA 52556-2826 | 2005-07-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1760802854 | Jefferson County | Public Health or Welfare | 200 W Briggs Ave, Fairfield, IA 52556-2826 | 2014-04-16 |
| 1700189883 | Jefferson County | Public Health or Welfare | 6303 Wadsworth Bypass, Arvada, CO 80003 | 2010-12-13 |
| 1811135494 | Jefferson County | Public Health or Welfare | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2009-02-04 |
| 1689843831 | Jefferson County | Community/Behavioral Health | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2008-02-21 |
| 1144499385 | Jefferson County | Community/Behavioral Health | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2008-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JEFFERSON COUNTY 4-H ASSOCIATION | Jefferson County 4-h Leaders, 850 Nw Dogwood Ln, Madras, OR 97741 |
| Colorado Business Entities | JEFFERSON COUNTY 4-H FOUNDATION, INC. | 16581 Red Cliff Circle, Morrison, CO 80465 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY 911 | 2659 Center Point Pkwy, Birmingham, AL 35215-2501 |
| Iowa Business Entities | JEFFERSON COUNTY ABSTRACT & LAND TITLE COMPANY, INC. | 122 N Court St, Fairfield, IA 52556 |
| New York State Corporations | JEFFERSON COUNTY ADULT DAY CARE CENTERS, INC. | 723 State St., Watertown, Ny 13601 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY AIRPORT | 292 Airpark Dr, Wintersville, OH 43953-9214 |
| Washington State Corporations | JEFFERSON COUNTY AIRPORT CONDO | 3416 E Quilcene Rd, Quilcene, WA 98376-7505 |
| Oklahoma Business Registrations | JEFFERSON COUNTY ANIMAL HOSPITAL, INC. | East Hwy 70, Waurika, OK 73573 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY AREA AGENCY ON AGING | 186 Main St Ste 2, Brookville, PA 15825-0806 |
| Oregon Corporations, Companies and Business Names | JEFFERSON COUNTY ARTS ASSOCIATION | 185 Se Fifth St, Madras, OR 97741 |
| Street Address |
645 PARFET ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746118 | Glen Rhodes II | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-06-25 |
| 1265055636 | Sarah Sweeterman | Social Worker | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-05-20 |
| 1265061782 | Samantha Josephine Gibbs | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-04-06 |
| 1487288585 | Sarah Kuettel | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-02-27 |
| 1255974291 | Greg Ellsworth | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-10-22 |
| 1255899050 | Jessie Smith | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-03-11 |
| 1134684608 | Angelica Monique Pereda | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-02-08 |
| 1538623558 | Sara Fruithandler | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-01-23 |
| 1629548474 | Kandace Swagerty | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2018-12-04 |
| 1548739345 | Kasey Bellegarde | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2018-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225309081 | Jefferson County Public Health | Clinic/Center | 260 Kipling Street, Lakewood, CO 80226 | 2012-01-25 |
| 1104819457 | City of Lakewood - Division of Health | Clinic/Center | 12805 Detroit Ave, Lakewood, OH 44107-2835 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023215472 | Otero County Health Department | Clinic/Center | 13 West Third St., Room 111, La Junta, CO 81050-1691 | 2007-06-29 |
| 1104998822 | Teller County | Clinic/Center | 11115 W. Highway 24, Unit 2c, Divide, CO 80814 | 2006-11-15 |
| 1609834449 | County of Chaffee | Clinic/Center | 448 E 1st St, Suite 137, Salida, CO 81201-2804 | 2006-05-02 |
| 1962552372 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-01-11 |
| 1083764443 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-01-10 |
| 1841350410 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2006-12-12 |
| 1457411035 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2006-12-12 |
| 1245228022 | Pueblo Department of Public Health and Environment | Clinic/Center | 101 W 9th St, Pueblo, CO 81003-4103 | 2005-10-06 |
| 1174515258 | County of Weld Board of County Commissioners | Clinic/Center | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2005-08-16 |
Please comment or provide details below to improve the information on JEFFERSON COUNTY.
| 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.