Organization Active NPI

Central District Health Department

  • Public Health or Welfare Agency
  • Grand Island, NE
National Provider Identifier
1700036837
Registry record updated Jun 26, 2013
On this page

Key facts

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

Updated by the provider on Jun 26, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130411000483 NE Part B Supplier - Mass Immunization (Roster Biller Only) 1153314836 Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.