NPIMap

Organization Active NPI

Ozaukee County Public Health Department

  • Case Management Agency
  • Port Washington, WI
National Provider Identifier
1417142928
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OZAUKEE COUNTY PUBLIC HEALTH DEPARTMENT
Practice address
121 W Main Street
Port Washington, WI 53074
Phone
(262) 284-8170
Fax
(262) 284-8105
NPI assigned
Sep 7, 2007
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Ms. Kirsten Johnson, MPH, CPH, CHES
Title
Director/Health Officer
Phone
(262) 284-8170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

121 W Main Street
Port Washington, WI 53074

Mailing address

PO Box 994
121 W Main Street
Port Washington, WI 53074-1813
Phone (262) 284-8170

Other identifiers 1

IdentifierTypeStateIssuer
43085500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Ozaukee County Department Human Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1417142928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "address_2": "121 W MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741813",
            "telephone_number": "262-284-8170",
            "fax_number": "262-284-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074",
            "telephone_number": "262-284-8170",
            "fax_number": "262-284-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZAUKEE COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "DIRECTOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "262-284-8170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH, CPH, CHES"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43085500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.