Organization Active NPI

Jefferson County Public Health Dept

  • Public Health or Welfare Agency
  • Beaumont, TX
National Provider Identifier
1588318638
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JEFFERSON COUNTY PUBLIC HEALTH DEPT
Practice address
1295 Pearl St
Beaumont, TX 77701-3642
Phone
(409) 839-2307
Fax
(409) 839-2302
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. Ezea D Ede, MDNPI 1861422412
Title
Director/Doctor
Phone
(409) 835-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1295 Pearl St
Beaumont, TX 77701-3642

Mailing address

1295 Pearl St
Beaumont, TX 77701-3642
Phone (409) 839-2307

National Provider Directory

National Provider Directory

Locations

1295 Pearl St
Beaumont, TX 77701
Phone (409) 835-8530

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1588318638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013642",
            "telephone_number": "409-839-2307",
            "fax_number": "409-839-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013642",
            "telephone_number": "409-839-2307",
            "fax_number": "409-839-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY PUBLIC HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "EDE",
        "authorized_official_first_name": "EZEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR/DOCTOR",
        "authorized_official_telephone_number": "409-835-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.