County of Holt

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF HOLT

Practice address

108 South Main St.
Oregon, MO 64473-0438

Phone

(660) 446-2909

Fax

(660) 446-2921

NPI assigned

Oct 16, 2006

Organization subpart

Yes

Parent organization

COUNTY OF HOLTAs reported in NPPES

Name

Mrs. Brenda G Nelson, RN ADMINISTRATOR

Title

RN Administrator

Phone

(660) 446-2909

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MO

Part of

County of Holt

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2013.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1962592196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "OREGON",
            "state": "MO",
            "postal_code": "644730438",
            "telephone_number": "660-446-2909",
            "fax_number": "660-446-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTH MAIN ST.",
            "city": "OREGON",
            "state": "MO",
            "postal_code": "644730438",
            "telephone_number": "660-446-2909",
            "fax_number": "660-446-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HOLT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF HOLT",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "660-446-2909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513709006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Hospital Association
• Community Medical Center, Inc.
• Jeffrey Dean Cotton, M.S.
• Kathleen M Davis, FNP
• Amanda Kurtz
• Oregon Healthcare LLC
• Oregon SNF Operations, LLC
• Jaden Troy Phelan

• All providers in Oregon, MO
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.