Active NPI
County of Black Hawk
- Public Health or Welfare Agency
- Waterloo, IA
National Provider Identifier
1639214067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF BLACK HAWK
- Practice address
- 1407 Independence Ave FL 5
Waterloo, IA 50703-4396 - Phone
- (319) 291-2413
- Fax
- (319) 291-2418
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nafissa Egbuonye
- Title
- Director
- Phone
- (319) 291-2413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Mailing address
1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Phone (319) 291-2413
Other practice location 1
425 1/2 East Ridgeway Avenue
Waterloo, IA 50702-5043
Phone (319) 433-2780
Other practice location 2
1501 E Orange Rd
Waterloo, IA 50701-9014
Phone (319) 296-4224
Other practice location 3
1505 Logan Ave
Waterloo, IA 50703-1910
Phone (319) 433-2530
Other practice location 4
214 High St
Waterloo, IA 50703-3908
Phone (319) 433-2446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108381 | Medicaid | IA |
Other names 1
- Black Hawk County Health Department
National Provider Directory
National Provider Directory- Tax ID family
- Black Hawk County Health Department
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Waterloo, IA
- NPI 1215052451
-
- Public Health or Welfare Agency
- Waterloo, IA
- NPI 1730203407
-
- Public Health or Welfare Agency
- Waterloo, IA
- NPI 1891194353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558310400000",
"number": "1639214067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 INDEPENDENCE AVE FL 5",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034396",
"telephone_number": "319-291-2413",
"fax_number": "319-291-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 INDEPENDENCE AVE FL 5",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034396",
"telephone_number": "319-291-2413",
"fax_number": "319-291-2418"
}
],
"practiceLocations": [
{
"address_1": "425 1/2 East Ridgeway Avenue",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507025043",
"country_code": "US",
"telephone_number": "319-433-2780",
"fax_number": "319-433-2799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 E Orange Rd",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507019014",
"country_code": "US",
"telephone_number": "319-296-4224",
"fax_number": "319-296-4270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 Logan Ave",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507031910",
"country_code": "US",
"telephone_number": "319-433-2530",
"fax_number": "319-433-2531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 High St",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507033908",
"country_code": "US",
"telephone_number": "319-433-2446",
"fax_number": "319-433-2447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COUNTY OF BLACK HAWK",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2019-05-20",
"status": "A",
"authorized_official_last_name": "EGBUONYE",
"authorized_official_first_name": "NAFISSA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "319-291-2413",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108381",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Hawk County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Black Hawk County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.