NPIMap

Organization Active NPI

County of Ottawa

  • Public Health or Welfare Agency
  • Holland, MI
National Provider Identifier
1376875229
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF OTTAWA
Practice address
12251 James St
Suite 400
Holland, MI 49424-9675
Phone
(616) 393-5781
Fax
(616) 393-5643
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Mrs. Lisa Stefanovsky
Title
Health Officer
Phone
(616) 393-5781

Specialties & licenses 1

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

Addresses

Primary practice location

12251 James St
Suite 400
Holland, MI 49424-9675

Mailing address

12251 James St
Suite 400
Holland, MI 49424-9675
Phone (616) 393-5781

Other identifiers 4

IdentifierTypeStateIssuer
4363112MedicaidMI
4363130MedicaidMI
4363140MedicaidMI
4363121MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
County of Ottawa14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1376875229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 JAMES ST",
            "address_2": "SUITE 400",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249675",
            "telephone_number": "616-393-5781",
            "fax_number": "616-393-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 JAMES ST",
            "address_2": "SUITE 400",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249675",
            "telephone_number": "616-393-5781",
            "fax_number": "616-393-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF OTTAWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "STEFANOVSKY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "616-393-5781",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363112",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363140",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363121",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.