Organization Active NPI

Garfield County Health District

  • Public Health or Welfare Agency
  • Pomeroy, WA
National Provider Identifier
1386774222
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
MD00025084 Issued in WA
Legal business name
GARFIELD COUNTY HEALTH DISTRICT
Practice address
121 South 10TH Street
Pomeroy, WA 99347
Phone
(509) 843-3412
NPI assigned
Mar 7, 2007
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Leta A Travis
Title
Administrator
Phone
(509) 843-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MD00025084 WA Primary

Addresses

Primary practice location

121 South 10TH Street
Pomeroy, WA 99347

Mailing address

PO Box 130
Pomeroy, WA 99347-0130
Phone (509) 843-3412

Other identifiers 3

IdentifierTypeStateIssuer
5044011MedicaidWA
7034739MedicaidWA
7405806MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1386774222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "993470130",
            "telephone_number": "509-843-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOUTH 10TH STREET",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "LETA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-843-3412"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "MD00025084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044011",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7034739",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7405806",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.