NPIMap

Organization Active NPI

County of Nevada

  • Prison Health Clinic/Center
  • Nevada City, CA
National Provider Identifier
1790542306
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF NEVADA
Practice address
925 Maidu Ave
Nevada City, CA 95959-8600
Phone
(530) 265-1471
NPI assigned
Feb 29, 2024
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Mrs. Jennifer Marie McCormack
Title
Lieutenant
Phone
(530) 470-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

925 Maidu Ave
Nevada City, CA 95959-8600

Mailing address

950 Maidu Ave
Nevada City, CA 95959-8600
Phone (530) 265-1471

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
05D2144101Wellpath, Nevada County, Wayne Brown925 Maidu Ave, Nevada City, CA 95959Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
County of Nevada9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

925 Maidu Ave
Nevada City, CA 95959
Phone (530) 265-1471

950 Maidu Ave
Nevada City, CA 95959
Phone (530) 265-1291

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1790542306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIDU AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598600",
            "telephone_number": "530-265-1471",
            "fax_number": "530-470-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIDU AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598600",
            "telephone_number": "530-265-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "530-470-2616",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.