NPIMap

Organization Active NPI

County of Skamania

Doing business as Skamania County Community Health

  • Community/Behavioral Health Agency
  • Stevenson, WA
National Provider Identifier
1821175456
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
059 Issued in WA
Legal business name
COUNTY OF SKAMANIA
Doing business as
Skamania County Community Health
Practice address
710 SW Rock Creek Dr.
Stevenson, WA 98648
Phone
(509) 427-3850
Fax
(509) 427-3859
NPI assigned
Nov 1, 2006
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Tamara Cissell, LICSWNPI 1346546918
Title
Community Health Director
Phone
(509) 427-3850

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X 059 WA Primary

Addresses

Primary practice location

710 SW Rock Creek Dr.
Stevenson, WA 98648

Mailing address

PO Box 1492
Stevenson, WA 98648-1492
Phone (509) 427-3850

Other identifiers 4

IdentifierTypeStateIssuer
1019912MedicaidWA
1991009MedicaidWA
7901572MedicaidWA
7145063MedicaidWA

Other names 1

  • Skamania County Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091022000590 WA Part B Supplier - Public Health/Welfare Agency 2769529817 Practice locations: Stevenson, WA
O20100204000079 WA Part B Supplier - Clinic/Group Practice 2769529817 Receives reassigned benefits from 6 practitioners
Practice locations: Stevenson, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1821175456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1492",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986481492",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SW ROCK CREEK DR.",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "98648",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SKAMANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "CISSELL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "COMMUNITY HEALTH DIRECTOR",
        "authorized_official_telephone_number": "509-427-3850",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019912",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991009",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901572",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7145063",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skamania County Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevenson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.