Organization Active NPI

United States Public Health Service

  • Public Health or Welfare Agency
  • Tacoma, WA
National Provider Identifier
1972871838
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
AP30005661 Issued in WA
Legal business name
UNITED STATES PUBLIC HEALTH SERVICE
Practice address
1623 E J St
Tacoma, WA 98421-1602
Phone
(253) 552-4947
Fax
(253) 779-6005
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Jonhnny Broussard
Title
Health Service Adminitrator
Phone
(253) 779-6052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X AP30005661 WA Primary

Addresses

Primary practice location

1623 E J St
Tacoma, WA 98421-1602

Mailing address

1623 E J St
Tacoma, WA 98421-1602
Phone (253) 552-4947

National Provider Directory

National Provider Directory

Locations

1623 E J St
Tacoma, WA 98421
Phone (253) 552-4963

Practitioners & affiliated clinicians

Practitioners 2

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1972871838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 E J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984211602",
            "telephone_number": "253-552-4947",
            "fax_number": "253-779-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984211602",
            "telephone_number": "253-552-4947",
            "fax_number": "253-779-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES PUBLIC HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "JONHNNY",
        "authorized_official_title_or_position": "HEALTH SERVICE ADMINITRATOR",
        "authorized_official_telephone_number": "253-779-6052"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "AP30005661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.