Active NPI
Asotin County Health District
- Public Health or Welfare Agency
- Clarkston, WA
National Provider Identifier
1275678088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 601-642-674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7400906 | Medicaid | WA | |
| 7038375 | Medicaid | WA | |
| 8013922 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.