Organization Active NPI

County of Adams

Doing business as Adams County Health Department

  • Public Health or Welfare Agency
  • Othello, WA
National Provider Identifier
1407916141
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF ADAMS
Doing business as
Adams County Health Department
Practice address
425 E Main St Ste 700
Othello, WA 99344-1146
Phone
(509) 488-2031
Fax
(509) 331-0030
NPI assigned
Dec 11, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Vicki Guse
Title
Administrator
Phone
(509) 488-4074

Specialties & licenses 1

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

Addresses

Primary practice location

425 E Main St Ste 700
Othello, WA 99344-1146

Mailing address

425 E Main St Ste 700
Othello, WA 99344-1146
Phone (509) 488-2031

Other identifiers 2

IdentifierTypeStateIssuer
7138811MedicaidWA
7408750MedicaidWA

Other names 1

  • Adams County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000212 WA Part B Supplier - Mass Immunization (Roster Biller Only) 3072557065 Practice locations: Ritzville, WA; Othello, WA

National Provider Directory

National Provider Directory
Tax ID family
County of Adams3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

165 N 1st Ave
Ste 120
Othello, WA 99344

425 E Main St
Ste 700
Othello, WA 99344
Phone (509) 488-2031

108 E Main Ave
Ritzville, WA 99169
Phone (509) 659-3315

108 E Main Ave
Ritzville, WA 99169
Phone (509) 659-3315

Practitioners & affiliated clinicians

Practitioners 4

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1407916141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 700",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441146",
            "telephone_number": "509-488-2031",
            "fax_number": "509-331-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 700",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441146",
            "telephone_number": "509-488-2031",
            "fax_number": "509-331-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "GUSE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-488-4074"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138811",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7408750",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adams County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.