Clay County Health Department

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

CLAY COUNTY HEALTH DEPARTMENT

Practice address

202 W Fairfield St
Clay Center, NE 68933-1439

Phone

(402) 762-3571

Fax

(402) 762-3573

NPI assigned

May 24, 2005

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Jensen, R.N.

Title

Director

Phone

(402) 762-3571

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1124021043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W FAIRFIELD ST",
            "city": "CLAY CENTER",
            "state": "NE",
            "postal_code": "689331439",
            "telephone_number": "402-762-3571",
            "fax_number": "402-762-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W FAIRFIELD ST",
            "city": "CLAY CENTER",
            "state": "NE",
            "postal_code": "689331439",
            "telephone_number": "402-762-3571",
            "fax_number": "402-762-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-06-19",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-762-3571",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "161001",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "000676",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise.carroll@claycountynebraska.org",
            "affiliation": "N",
            "endpointDescription": "Office Manager's email",
            "address_1": "202 W Fairfield St",
            "city": "Clay Center",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689331439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Baxa
• City of Clay Center (Clay Center Volunteer Ambulance)
• Carol D Gaedeke
• Miranda Gaedeke
• Amber Malesker
• Memorial Community Health Inc (Memorial Health Clinic Clay Center (RHC))
• Cathy A Paulk

• State or Local Public Health Clinic/Center in Clay Center, NE
• Providers in Clay Center, NE by specialty
• State or Local Public Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.