Active NPI
Central District Health Department
- Public Health or Welfare Agency
- Grand Island, NE
National Provider Identifier
1700036837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CENTRAL DISTRICT HEALTH DEPARTMENT
- Practice address
- 1137 S Locust St
Grand Island, NE 68801-6771 - Phone
- (308) 385-5175
- Fax
- (308) 385-5181
- NPI assigned
- Sep 25, 2008
- 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
- Teresa Anderson
- Title
- Executive Director
- Phone
- (308) 385-5175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1137 S Locust St
Grand Island, NE 68801-6771
Mailing address
1137 S Locust St
Grand Island, NE 68801-6771
Phone (308) 385-5175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130411000483 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153314836 | Practice locations: Grand Island, NE |
National Provider Directory
National Provider DirectoryLocations
1137 S Locust St
Grand Island, NE 68801
Phone (308) 385-5175
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Grand Island, NE
- NPI 1689522385
-
- Dental Hygienist
- Grand Island, NE
- NPI 1104503721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1700036837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688016771",
"telephone_number": "308-385-5175",
"fax_number": "308-385-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688016771",
"telephone_number": "308-385-5175",
"fax_number": "308-385-5181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL DISTRICT HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "308-385-5175"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.