Organization Active NPI

County of Black Hawk

  • Public Health or Welfare Agency
  • Waterloo, IA
National Provider Identifier
1639214067
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on May 20, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0108381MedicaidIA

Other names 1

  • Black Hawk County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Hawk County Health Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "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.

Verify at the official NPI Registry.