NPIMap

Organization Active NPI

Taylor County Public Health Agency

  • Public Health or Welfare Agency
  • Bedford, IA
National Provider Identifier
1083741276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TAYLOR COUNTY PUBLIC HEALTH AGENCY
Practice address
405 Jefferson St
Bedford, IA 50833-1300
Phone
(712) 523-3405
Fax
(712) 523-3402
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tami Blunt, R.N.
Title
Agency Administrator
Phone
(712) 523-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

405 Jefferson St
Bedford, IA 50833-1300

Mailing address

405 Jefferson St
Bedford, IA 50833-1300
Phone (712) 523-3405

Other identifiers 1

IdentifierTypeStateIssuer
0007898MedicaidIA

Other names 1

  • Maternal & Child Health of SW Iowa Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Taylor9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083741276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 JEFFERSON ST",
            "city": "BEDFORD",
            "state": "IA",
            "postal_code": "508331300",
            "telephone_number": "712-523-3405",
            "fax_number": "712-523-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JEFFERSON ST",
            "city": "BEDFORD",
            "state": "IA",
            "postal_code": "508331300",
            "telephone_number": "712-523-3405",
            "fax_number": "712-523-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR COUNTY PUBLIC HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUNT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "712-523-3405",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal & Child Health of SW Iowa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.