Active NPI
Clark County Current Expense
- State or Local Public Health Clinic/Center
- Vancouver, WA
National Provider Identifier
1700811635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- CLARK COUNTY CURRENT EXPENSE
- Practice address
- 1601 E Fourth Plain Blvd
BLDG 17 3Rd Floor Suite A338
Vancouver, WA 98661-3713 - Phone
- (360) 397-8000
- Fax
- (360) 397-8110
- NPI assigned
- Jul 11, 2006
- 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
- Josh Gossage
- Title
- Management Analyst
- Phone
- (564) 397-8102
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
1601 E Fourth Plain Blvd
BLDG 17 3Rd Floor Suite A338
Vancouver, WA 98661-3713
Mailing address
PO Box 5000
Vancouver, WA 98666-5000
Phone (360) 397-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017721 | Medicaid | WA | |
| 1019189 | Medicaid | WA | |
| 1010976 | Medicaid | WA | |
| 1000050 | Medicaid | WA | |
| 1022061 | Medicaid | WA |
Other names 2
- Clark County Public Health
- Clark County Health Department
National Provider Directory
National Provider DirectoryLocations
2000 Fort Vancouver Way
Vancouver, WA 98663
Phone (360) 397-8215
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Vancouver, WA
- NPI 1316957301
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1740378090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637712000000",
"number": "1700811635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986665000",
"telephone_number": "360-397-8000",
"fax_number": "360-397-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"address_2": "BLDG 17 3RD FLOOR SUITE A338",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-397-8000",
"fax_number": "360-397-8110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK COUNTY CURRENT EXPENSE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A",
"authorized_official_last_name": "GOSSAGE",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "MANAGEMENT ANALYST",
"authorized_official_telephone_number": "564-397-8102"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017721",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019189",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010976",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000050",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022061",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clark County Public Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clark County Health Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.