Organization Active NPI

Asotin County Health District

  • Public Health or Welfare Agency
  • Clarkston, WA
National Provider Identifier
1275678088
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
601-642-674 Issued in WA
Legal business name
ASOTIN COUNTY HEALTH DISTRICT
Practice address
431 Elm St
Clarkston, WA 99403-2650
Phone
(509) 758-3344
Fax
(509) 758-8454
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mrs. Shannon C Jones, FACHE
Title
Administrator
Phone
(509) 758-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 601-642-674 WA Primary

Addresses

Primary practice location

431 Elm St
Clarkston, WA 99403-2650

Mailing address

431 Elm St
Clarkston, WA 99403-2650
Phone (509) 758-3344

Other identifiers 3

IdentifierTypeStateIssuer
7400906MedicaidWA
7038375MedicaidWA
8013922MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1275678088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 ELM ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032650",
            "telephone_number": "509-758-3344",
            "fax_number": "509-758-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 ELM ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032650",
            "telephone_number": "509-758-3344",
            "fax_number": "509-758-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOTIN COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-758-3344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "601-642-674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400906",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7038375",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8013922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.