NPIMap

Organization Active NPI

Klamath County

Doing business as Klamath County Public Health Department

  • Public Health or Welfare Agency
  • Klamath Falls, OR
National Provider Identifier
1780607739
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KLAMATH COUNTY
Doing business as
Klamath County Public Health Department
Practice address
3314 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone
(541) 882-8846
Fax
(541) 885-3638
NPI assigned
Jul 25, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Jessica Faith Dale
Title
Assistant Director
Phone
(541) 885-2434

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary
Public Health or Welfare Agency 251K00000X 043054 OR
Public Health or Welfare Agency 251K00000X 320051 OR
Public Health or Welfare Agency 251K00000X 000075 OR
Ambulatory Family Planning Facility 261QA0005X NU

Addresses

Primary practice location

3314 Vandenberg Rd
Klamath Falls, OR 97603-3730

Mailing address

3314 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone (541) 882-8846

Other identifiers 3

IdentifierTypeStateIssuer
000075MedicaidOR
320051MedicaidOR
043054MedicaidOR

Other names 1

  • Klamath County Public Health Department Doing business as

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
38D0896636Klamath County Public Health3314 Vandenberg Road, Klamath Falls, OR 97603Provider-performed microscopyJul 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Klamath County HLTH SRV4 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.

Locations

403 Pine St
Klamath Falls, OR 97601
Phone (541) 851-8110

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1780607739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-882-8846",
            "fax_number": "541-885-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-882-8846",
            "fax_number": "541-885-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "541-885-2434"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "043054",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "320051",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "000075",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000075",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320051",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043054",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath County Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.