NPIMap

Organization Active NPI

State of Tennessee

Doing business as Washington County Health Department

  • Public Health or Welfare Agency
  • Johnson City, TN
National Provider Identifier
1447397666
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF TENNESSEE
Doing business as
Washington County Health Department
Practice address
219 Princeton Rd
Johnson City, TN 37601-2062
Phone
(423) 979-4609
Fax
(423) 979-3271
NPI assigned
Jan 30, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James Timothy Carson, MSEH
Title
County Director 3
Phone
(423) 975-7927

Specialties & licenses 1

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

Addresses

Primary practice location

219 Princeton Rd
Johnson City, TN 37601-2062

Mailing address

219 Princeton Rd
Johnson City, TN 37601-2062
Phone (423) 975-2200

Other identifiers 1

IdentifierTypeStateIssuer
444-7994MedicaidTN

Other names 1

  • Washington County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001259 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5698687077 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Bristol Health Center203 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

219 Princeton Rd
Johnson City, TN 37601
Phone (423) 975-2200

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447397666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 PRINCETON RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012062",
            "telephone_number": "423-975-2200",
            "fax_number": "423-975-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 PRINCETON RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012062",
            "telephone_number": "423-979-4609",
            "fax_number": "423-979-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "COUNTY DIRECTOR 3",
        "authorized_official_telephone_number": "423-975-7927",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSEH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444-7994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.