NPIMap

Organization Active NPI

Jefferson County Health Department

  • Public Health or Welfare Agency
  • Hillsboro, MO
National Provider Identifier
1235118324
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JEFFERSON COUNTY HEALTH DEPARTMENT
Doing business as
Jefferson County Health Department
Practice address
405 Main Street
Hillsboro, MO 63050
Phone
(636) 789-3372
Fax
(636) 797-4631
NPI assigned
Jan 17, 2006
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Mrs. Kelley Vollmar
Title
Director
Phone
(636) 797-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

405 Main Street
Hillsboro, MO 63050

Mailing address

405 Main Street
Hillsboro, MO 63050
Phone (636) 789-3372

Other practice location 1

1818 Lonedell Rd
Arnold, MO 63010-1050
Phone (636) 282-1010

Other practice location 2

5684 Highway Pp
High Ridge, MO 63049-2901
Phone (636) 495-1600

Other identifiers 1

IdentifierTypeStateIssuer
512084500MedicaidMO

Other names 1

  • Jefferson County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809005315 MO Part B Supplier - Clinic/Group Practice 7618056011 Receives reassigned benefits from 7 practitioners
Practice locations: Arnold, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1235118324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN STREET",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "63050",
            "telephone_number": "636-789-3372",
            "fax_number": "636-797-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN STREET",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "63050",
            "telephone_number": "636-789-3372",
            "fax_number": "636-797-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Lonedell Rd",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630101050",
            "country_code": "US",
            "telephone_number": "636-282-1010",
            "fax_number": "636-282-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5684 Highway Pp",
            "address_purpose": "LOCATION",
            "city": "High Ridge",
            "state": "MO",
            "postal_code": "630492901",
            "country_code": "US",
            "telephone_number": "636-495-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "VOLLMAR",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-797-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512084500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.

Verify at the official NPI Registry.