Active NPI
Fayette County Government
- State or Local Public Health Clinic/Center
- Connersville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- FAYETTE COUNTY GOVERNMENT
- Practice address
- 401 Central Ave
Connersville, IN 47331 - Phone
- (765) 825-4013
- Fax
- (765) 825-7189
- NPI assigned
- Jul 17, 2006
- Last updated
- Mar 19, 2015
- 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
- Dr. Wayne B White, MD
- Title
- Fayette County Health Officer
- Phone
- (765) 825-0511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | NU | Primary |
Addresses
Primary practice location
401 Central Ave
Connersville, IN 47331
Mailing address
401 Central Ave
Connersville, IN 47331
Phone (765) 825-4013
Other names 1
- Fayette County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070815000420 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638261068 | Practice locations: Connersville, IN |
National Provider Directory
National Provider DirectoryLocations
401 N Central Ave
Connersville, IN 47331
Phone (765) 825-4013
401 N Central Ave
Ste 8
Connersville, IN 47331
Phone (765) 825-4013
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Connersville, IN
- NPI 1124001458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1356368104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CENTRAL AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "47331",
"telephone_number": "765-825-4013",
"fax_number": "765-825-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CENTRAL AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "47331",
"telephone_number": "765-825-4013",
"fax_number": "765-825-7189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTE COUNTY GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "FAYETTE COUNTY HEALTH OFFICER",
"authorized_official_telephone_number": "765-825-0511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fayette County Health Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Connersville, IN
- Family Health Services, Inc.
- Caitlin Fattore
- Fayette BHC LLC
- Fayette BHC LLC
- Fayette Co Physician Organization Dba Family Practice WVMC
- Fayette County Pediatrics LLC
- Fayette County Physician Orginazation LLC (Whitewater Valley Urgent Care)
- Fayette County School Corp
- Fayette Family Practice, Inc.
- Fayette Memorial Hospital Assoc (FMH Ambulance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.