Active NPI
Yamhill County
- Public Health or Welfare Agency
- McMinnville, OR
National Provider Identifier
1205967908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- YAMHILL COUNTY
- Practice address
- 310 NE Kirby St
McMinnville, OR 97128-4301 - Phone
- (503) 434-7525
- NPI assigned
- Mar 7, 2007
- 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
- Lindsey Manfrin
- Title
- Director
- Phone
- (503) 434-7525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | OR | Primary |
Addresses
Primary practice location
310 NE Kirby St
McMinnville, OR 97128-4301
Mailing address
310 NE Kirby St
McMinnville, OR 97128-4301
Phone (503) 434-7525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096859 | Medicaid | OR |
Other names 1
- Yamhill County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001177 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274421169 | Practice locations: McMinnville, OR; Newberg, OR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1821002908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1205967908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 NE KIRBY ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284301",
"telephone_number": "503-434-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 NE KIRBY ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284301",
"telephone_number": "503-434-7525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAMHILL COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "MANFRIN",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-434-7525"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096859",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Yamhill County Public Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Yamhill County Public Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.