Active NPI
Okanogan County Juvenile Department
- Prison Health Clinic/Center
- Okanogan, WA
National Provider Identifier
1790674133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- OKANOGAN COUNTY JUVENILE DEPARTMENT
- Doing business as
- Okanogan County Juvenile Department
- Practice address
- 227 N 4TH Ave
Okanogan, WA 98840 - Phone
- (509) 422-7260
- Fax
- (506) 422-7294
- NPI assigned
- Jul 1, 2025
- Last updated
- Mar 18, 2026
- Organization subpart
- Yes
- Parent organization
- OKANOGAN COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael C Beaver
- Title
- Juvenile Court Administrator
- Phone
- (509) 422-7267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Primary |
Addresses
Primary practice location
227 N 4TH Ave
Okanogan, WA 98840
Mailing address
PO Box 432
Okanogan, WA 98840-0432
Phone (509) 422-7267
Other names 1
- Okanogan County Juvenile Department
National Provider Directory
National Provider Directory- Part of
- Okanogan County Counsel
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Case Management Registered Nurse
- Okanogan, WA
- NPI 1013865591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1790674133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "OKANOGAN",
"state": "WA",
"postal_code": "988400432",
"telephone_number": "509-422-7267",
"fax_number": "509-422-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 N 4TH AVE",
"city": "OKANOGAN",
"state": "WA",
"postal_code": "98840",
"telephone_number": "509-422-7260",
"fax_number": "506-422-7294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKANOGAN COUNTY JUVENILE DEPARTMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OKANOGAN COUNTY",
"enumeration_date": "2025-07-01",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "JUVENILE COURT ADMINISTRATOR",
"authorized_official_telephone_number": "509-422-7267",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Okanogan County Juvenile Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Okanogan, WA
- Kevin L Mallory, PA-C
- Clifton Lee Malm, D.C.
- Oleksiy Motch, DDS
- Ashley Grace Nickell
- Okanogan County Community Action Council
- Okanogan County Public Health (Public Health)
- Okanogan County Public Health
- Okanogan County Sherriff Jail
- Okanogan County Transportation & Nutrition
- Okanogan School District #105
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.