County of Douglas

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF DOUGLAS

Doing business as

Douglas County Health Department

Practice address

621 W Madrone St
Roseburg, OR 97470-3090

Phone

(541) 440-3571

NPI assigned

Jan 5, 2007

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy E Madison

Title

Health Department Administrator

Phone

(541) 440-3625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Douglas County Health Department Doing business as

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1396892717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MADRONE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703090",
            "telephone_number": "541-440-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MADRONE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703090",
            "telephone_number": "541-440-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HEALTH DEPARTMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "541-440-3625"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320135",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin David Counts, CSWA
• Theodore Counts
• County of Douglas (Douglas County Mental Health)
• County of Douglas (Douglas County Health & Social Services)
• County of Douglas (Douglas County Shelter Care Facility)
• County of Douglas (Douglas County Health & Social Services)
• Cow Creek Band of Umpqua Tribe of Indians (Cow Creek Health & Wellness Ctr)
• Cow Creek Health & Wellness Ctr
• Cow Creek Health and Wellness Pharmacy
• Amy Cox

• Public Health or Welfare Agency in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Public Health or Welfare Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.