Active NPI
Clatsop County
- State or Local Public Health Clinic/Center
- Astoria, OR
National Provider Identifier
1124043856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- CLATSOP COUNTY
- Practice address
- 820 Exchange St
Suite 100
Astoria, OR 97103-4609 - Phone
- (503) 338-3600
- Fax
- (503) 325-8678
- NPI assigned
- Jul 13, 2006
- 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
- Bryan L. Hall
- Title
- Fiscal Coordinator
- Phone
- (503) 338-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
820 Exchange St
Suite 100
Astoria, OR 97103-4609
Mailing address
820 Exchange St
Suite 100
Astoria, OR 97103-4609
Phone (503) 338-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096560 | Medicaid | OR |
Other names 1
- Clatsop County Health & Human Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Warrenton, OR
- NPI 1720186349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1124043856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 EXCHANGE ST",
"address_2": "SUITE 100",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971034609",
"telephone_number": "503-338-3600",
"fax_number": "503-325-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 EXCHANGE ST",
"address_2": "SUITE 100",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971034609",
"telephone_number": "503-338-3600",
"fax_number": "503-325-8678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLATSOP COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "FISCAL COORDINATOR",
"authorized_official_telephone_number": "503-338-3600"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096560",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clatsop County Health & Human Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.