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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100074760 | Medicaid | IN | |
| 300032061 | Medicaid | IN |
Other names 1
- Clark County Health Department
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0667366 | Clark County Health Department | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.