NPIMap

Organization Active NPI

Jefferson County Public Health Service

  • Home Health Agency
  • Watertown, NY
National Provider Identifier
1144387135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2201901L Issued in NY
Legal business name
JEFFERSON COUNTY PUBLIC HEALTH SERVICE
Practice address
531 Meade St
Watertown, NY 13601-1225
Phone
(315) 786-3710
Fax
(315) 786-3761
NPI assigned
Jan 2, 2007
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
Dorena Louise Kimball
Title
Accountant
Phone
(315) 786-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2201901L NY Primary

Addresses

Primary practice location

531 Meade St
Watertown, NY 13601-1225

Mailing address

531 Meade St
Watertown, NY 13601-1225
Phone (315) 786-3710

Other identifiers 1

IdentifierTypeStateIssuer
2201901LOtherNYLTHHCP OPERATING CERTIFIC

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Public8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144387135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MEADE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011225",
            "telephone_number": "315-786-3710",
            "fax_number": "315-786-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MEADE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011225",
            "telephone_number": "315-786-3710",
            "fax_number": "315-786-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY PUBLIC HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "DORENA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "315-786-3742"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2201901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTHHCP OPERATING CERTIFIC",
            "identifier": "2201901L",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

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.