Organization Active NPI

County of Mohave

  • Public Health or Welfare Agency
  • Kingman, AZ
National Provider Identifier
1740326727
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
OTC3853 Issued in AZ
Legal business name
COUNTY OF MOHAVE
Practice address
700 W Beale St
Kingman, AZ 86401-5711
Phone
(928) 753-0714
Fax
(928) 753-0775
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mrs. Melissa Palmer, M.ADM, BS, MCHES
Title
Health Director
Phone
(928) 753-0748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OTC3853 AZ Primary

Addresses

Primary practice location

700 W Beale St
Kingman, AZ 86401-5711

Mailing address

700 W Beale St
Kingman, AZ 86401-5711
Phone (928) 753-0741

Other names 1

  • Mohave County Department of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001427 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 2163401126 3 other NPIs on this enrollment
Practice locations: Bullhead City, AZ; Lake Havasu City, AZ; Colorado City, AZ; Kingman, AZ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0667428Mohave County Dept of Public Health700 W Beale St, Kingman, AZ 86401Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Mohave4 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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1740326727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W BEALE ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015711",
            "telephone_number": "928-753-0741",
            "fax_number": "928-753-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W BEALE ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015711",
            "telephone_number": "928-753-0714",
            "fax_number": "928-753-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MOHAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "928-753-0748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ADM, BS, MCHES"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "OTC3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohave County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.