NPIMap

Organization Active NPI

County of Jackson

  • Public Health or Welfare Agency
  • Medford, OR
National Provider Identifier
1356183206
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF JACKSON
Practice address
140 S Holly Street
Medford, OR 97501-3113
Phone
(541) 774-8218
Fax
(541) 774-7964
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Stacy Brubaker
Title
Health & Human Services Director
Phone
(541) 774-7878

Specialties & licenses 1

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

Addresses

Primary practice location

140 S Holly Street
Medford, OR 97501-3113

Mailing address

140 S Holly Street
Medford, OR 97501-3113
Phone (541) 774-8218

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Oregon8 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1356183206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S HOLLY STREET",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013113",
            "telephone_number": "541-774-8218",
            "fax_number": "541-774-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S HOLLY STREET",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013113",
            "telephone_number": "541-774-8218",
            "fax_number": "541-774-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "HEALTH & HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "541-774-7878"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.