NPIMap

Organization Active NPI

Jefferson County Health Department

  • Personal Care Attendant
  • Jefferson, WI
National Provider Identifier
1538228200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JEFFERSON COUNTY HEALTH DEPARTMENT
Practice address
N3995 Annex Road
Jefferson, WI 53549-9618
Phone
(920) 674-7275
Fax
(920) 674-7477
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gail M Scott, RN BSN
Title
Director Health Officer
Phone
(920) 674-7228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

N3995 Annex Road
Jefferson, WI 53549-9618

Mailing address

N3995 Annex Road
Jefferson, WI 53549-9618
Phone (920) 674-7275

Other identifiers 1

IdentifierTypeStateIssuer
43103200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Health Deparment12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538228200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3995 ANNEX ROAD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499618",
            "telephone_number": "920-674-7275",
            "fax_number": "920-674-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3995 ANNEX ROAD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499618",
            "telephone_number": "920-674-7275",
            "fax_number": "920-674-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR HEALTH OFFICER",
        "authorized_official_telephone_number": "920-674-7228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43103200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.