NPIMap

Organization Active NPI

County of Tillamook

  • Federally Qualified Health Center (FQHC)
  • Tillamook, OR
National Provider Identifier
1003606732
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF TILLAMOOK
Practice address
800 Main Ave Ste a
Tillamook, OR 97141-3760
Phone
(503) 842-3900
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tabatha Noffsinger
Title
Clinic Manager
Phone
(503) 842-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

800 Main Ave Ste a
Tillamook, OR 97141-3760

Mailing address

PO Box 489
Tillamook, OR 97141-0489
Phone (503) 842-3900

Other names 2

  • Tillamook County Community Health Centers Doing business as
  • Tillamook County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208002387 OR Part A Provider - Federally Qualified Health Center (FQHC) 3173411287 Practice locations: Tillamook, OR

Federally qualified health center certification: CCN 381054

Legal name
COUNTY OF TILLAMOOK
Doing business as
MAIN STREET HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 17, 2025
Last certification
Nov 17, 2025
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
800 Main Ave
Ste a
Tillamook, OR 97141-3760

Federally qualified health center certification: CCN 381864

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 16, 2004
Last certification
Apr 16, 2004
Ownership / control type
Non-profit – corporation
Facility address
800 Main Avenue
Tillamook, OR 97141

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0623015Tillamook County Health Department800 Main Ave, Tillamook, OR 97141Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Tillamook6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1925 Suppress Rd N
Tillamook, OR 97141
Phone (503) 842-3900

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Tillamook Organization, Tillamook, OR Non-profit General Partnership Interest Jul 1, 1994 100%
Operational/Managerial Control Jul 1, 1994 100%
Marlene L Putman Individual W-2 Managing EmployeeAd; Nov 5, 2010 100%
Operational/Managerial ControlAdministrator Nov 5, 2010 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Tillamook
    • Federally Qualified Health Center (FQHC)
    • Rockaway Beach, OR
    • NPI 1184887523

    General Partnership Interest, Operational/Managerial Control

    CMS ownership
  • County of Tillamook
    • Federally Qualified Health Center (FQHC)
    • Tillamook, OR
    • NPI 1528151362

    General Partnership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tillamook County Health DepartmentRockaway Beach, OR, CCN 381862 Federally qualified health center Operational/Managerial Control Jul 1, 2001
Tillamook County Health DepartmentTillamook, OR, CCN 381824 Federally qualified health center Operational/Managerial Control Jul 1, 1994

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1003606732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971410489",
            "telephone_number": "503-842-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN AVE STE A",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413760",
            "telephone_number": "503-842-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TILLAMOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "NOFFSINGER",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-842-3421"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillamook County Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tillamook County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.