Organization Active NPI

Clark County Auditor

Doing business as Clark County Health Department

  • State or Local Public Health Clinic/Center
  • Jeffersonville, IN
National Provider Identifier
1306907894
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CLARK COUNTY AUDITOR
Doing business as
Clark County Health Department
Practice address
1201 Wall Street
Jeffersonville, IN 47130-3887
Phone
(812) 282-7521
Fax
(812) 288-2711
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Mr. Douglas John Bentfield III
Title
Administrator
Phone
(812) 282-7521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1201 Wall Street
Jeffersonville, IN 47130-3887

Mailing address

1201 Wall Street
Jeffersonville, IN 47130-3887
Phone (812) 282-7521

Other identifiers 2

IdentifierTypeStateIssuer
100074760MedicaidIN
300032061MedicaidIN

Other names 1

  • Clark County Health Department Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0667366Clark County Health Department1201 Wall Street, Jeffersonville, IN 47130Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

1101 Spring St
#2
Jeffersonville, IN 47130

1201 Wall St
Jeffersonville, IN 47130
Phone (812) 282-7521

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1306907894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WALL STREET",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303887",
            "telephone_number": "812-282-7521",
            "fax_number": "812-288-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WALL STREET",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303887",
            "telephone_number": "812-282-7521",
            "fax_number": "812-288-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BENTFIELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-282-7521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074760",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032061",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.