Organization Active NPI

Johnson County Public Health

  • Public Health or Welfare Agency
  • Iowa City, IA
National Provider Identifier
1003992678
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
NONE Issued in IA
Legal business name
JOHNSON COUNTY PUBLIC HEALTH
Practice address
855 S Dubuque St
Suite 217
Iowa City, IA 52240-4281
Phone
(319) 356-6040
Fax
(319) 339-6176
NPI assigned
Oct 27, 2006
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mr. Douglas Beardsley, M.P.H.
Title
Director
Phone
(319) 356-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NONE IA Primary

Addresses

Primary practice location

855 S Dubuque St
Suite 217
Iowa City, IA 52240-4281

Mailing address

855 S Dubuque St
Suite 217
Iowa City, IA 52240-4281
Phone (319) 356-6040

Other identifiers 1

IdentifierTypeStateIssuer
0143610MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
County of Johnson6 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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1003992678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S DUBUQUE ST",
            "address_2": "SUITE 217",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404281",
            "telephone_number": "319-356-6040",
            "fax_number": "319-339-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S DUBUQUE ST",
            "address_2": "SUITE 217",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404281",
            "telephone_number": "319-356-6040",
            "fax_number": "319-339-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-356-6040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.H."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143610",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.