Active NPI
County of Jefferson
- Public Health or Welfare Agency
- Madras, OR
National Provider Identifier
1114643459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF JEFFERSON
- Practice address
- 500 NE a Street, Ste 102
Madras, OR 97741 - Phone
- (541) 475-4456
- Fax
- (541) 475-0132
- NPI assigned
- Oct 18, 2022
- Last updated
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Russell, MPH
- Title
- Public Health Director
- Phone
- (541) 475-4456
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
500 NE a Street, Ste 102
Madras, OR 97741
Mailing address
500 NE a St Ste 102
Madras, OR 97741-1842
Phone (541) 475-4456
Other names 1
- Jefferson County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- County of Jefferson
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Madras, OR
- NPI 1063561959
-
- Public Health or Welfare Agency
- Madras, OR
- NPI 1891716783
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1114643459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE A ST STE 102",
"city": "MADRAS",
"state": "OR",
"postal_code": "977411842",
"telephone_number": "541-475-4456",
"fax_number": "541-475-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE A STREET, STE 102",
"city": "MADRAS",
"state": "OR",
"postal_code": "97741",
"telephone_number": "541-475-4456",
"fax_number": "541-475-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF JEFFERSON",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-18",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
"authorized_official_telephone_number": "541-475-4456",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson County Public Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.