Organization Active NPI

County of Jackson

Doing business as Jackson County Health Department

  • Public Health or Welfare Agency
  • Jackson, OH
National Provider Identifier
1356466098
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF JACKSON
Doing business as
Jackson County Health Department
Practice address
200 E Main St
Jackson, OH 45640-1716
Phone
(740) 286-5094
Fax
(740) 286-8809
NPI assigned
Mar 20, 2007
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Mr. Kevin E. Aston, MPH
Title
Health Commissioner
Phone
(740) 286-5094

Specialties & licenses 1

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

Addresses

Primary practice location

200 E Main St
Jackson, OH 45640-1716

Mailing address

200 E Main St
Jackson, OH 45640-1716
Phone (740) 286-5094

Other identifiers 2

IdentifierTypeStateIssuer
948007OtherOHWORKMAN'S COMPENSATION
0836439MedicaidOH

Other names 1

  • Jackson County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141119002270 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3577510544 Practice locations: Jackson, OH
O20241028003662 OH Part B Supplier - Clinic/Group Practice 3577510544 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

260 Pattonsville Rd
Jackson, OH 45640
Phone (740) 286-4071

275 Portsmouth St
Jackson, OH 45640
Phone (740) 288-7120

220 Portland St
Oak Hill, OH 45656
Phone (740) 288-7120

202 W Poplar St
Sidney, OH 45365
Phone (937) 498-7249

10 W 2nd St
Wellston, OH 45692
Phone (740) 288-7120

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1356466098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401716",
            "telephone_number": "740-286-5094",
            "fax_number": "740-286-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401716",
            "telephone_number": "740-286-5094",
            "fax_number": "740-286-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "ASTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-286-5094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMPENSATION",
            "identifier": "948007",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.

Verify at the official NPI Registry.