NPIMap

Organization Active NPI

County of Siskiyou

Doing business as Siskiyou County Jail

  • Public Health or Welfare Agency
  • Yreka, CA
National Provider Identifier
1740043231
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SISKIYOU
Doing business as
Siskiyou County Jail
Practice address
315 S. Oregon Street
Yreka, CA 96097
Phone
(530) 842-8157
NPI assigned
Feb 6, 2024
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SISKIYOUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelly Davis, MN BSN-RN PHN CCHPNPI 1275356164
Title
Director of Public Health, Director
Phone
(530) 841-2140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

315 S. Oregon Street
Yreka, CA 96097

Mailing address

810 S Main Street
Yreka, CA 96097
Phone (530) 841-2134

Other names 1

  • Siskiyou County Jail Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Siskiyou County Behav H2 organizations share this tax ID, including this one
Part of
Siskiyou County Behav H

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 S Oregon St
Yreka, CA 96097
Phone (530) 842-8157

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1740043231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN STREET",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-841-2134",
            "fax_number": "530-841-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S. OREGON STREET",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SISKIYOU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SISKIYOU",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH, DIRECTOR",
        "authorized_official_telephone_number": "530-841-2140",
        "authorized_official_credential": "MN BSN-RN PHN CCHP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskiyou County Jail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.