NPIMap

Organization Active NPI

County of Blackhawk

  • Public Health or Welfare Agency
  • Waterloo, IA
National Provider Identifier
1861516452
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF BLACKHAWK
Practice address
1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Phone
(319) 291-2413
Fax
(319) 291-2418
NPI assigned
Mar 19, 2007
Reactivated
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Dr. Nafissa Cisse Egbuonye, PH.D.
Title
Director
Phone
(319) 291-2413

Specialties & licenses 1

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

Addresses

Primary practice location

1407 Independence Ave FL 5
Waterloo, IA 50703-4396

Mailing address

1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Phone (319) 291-2413

Other names 1

  • Black Hawk County Health Department Doing business as

National Provider Directory

National Provider Directory

Locations

1407 Independence Ave
Fl 5
Waterloo, IA 50703
Phone (319) 291-2413

1407 Independence Ave
Waterloo, IA 50703
Phone (319) 291-2413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1861516452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE FL 5",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034396",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE FL 5",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034396",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BLACKHAWK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-05-30",
        "deactivation_date": "2019-02-05",
        "reactivation_date": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "EGBUONYE",
        "authorized_official_first_name": "NAFISSA",
        "authorized_official_middle_name": "CISSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-291-2413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hawk County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Black Hawk County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.