County of Cole

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF COLE

Doing business as

Cole County Health Department

Practice address

3400 W Truman Blvd
Jefferson City, MO 65109-5712

Phone

(573) 636-2181

Fax

(573) 636-3851

NPI assigned

Nov 16, 2006

Organization subpart

Yes

Parent organization

COUNTY OF COLEAs reported in NPPES

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

Authorized official

Name

Samuel Bushman

Title

Presiding Commissioner

Phone

(573) 636-2181

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cole County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Cole

  dba Cole County Emergency Medical Services

  • Land Ambulance
  • Jefferson City, MO
  • NPI 1407082746

  9436217718

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Cole

  dba Cole County Emergency Medical Services

  • Land Ambulance
  • Jefferson City, MO
  • NPI 1407082746

  O20081015000717

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

County of Cole3 organizations share this tax ID, including this one

Part of

County of Cole

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• County of Cole

  dba Cole County Emergency Medical Services

  • Land Ambulance
  • Jefferson City, MO
  • NPI 1407082746
  NPD tax ID
• Michael W. Prenger Family Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Jefferson City, MO
  • NPI 1063659019
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• County of Cole

  dba Cole County Emergency Medical Services

  • Land Ambulance
  • Jefferson City, MO
  • NPI 1407082746
  NPPES parent name

Practitioners 3

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

• Monica L Biddle

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1396859153
  NPD (past)
• Theresa C Phillips, MSN APRN, BC

  • Community Health Nurse Practitioner
  • Jefferson City, MO
  • NPI 1407952062
  NPD (past)
• Margaret Ann Wollen-Olson, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1831355809
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1992878177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W TRUMAN BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095712",
            "telephone_number": "573-636-2181",
            "fax_number": "573-636-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TRUMAN BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095712",
            "telephone_number": "573-636-2181",
            "fax_number": "573-636-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF COLE",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDING COMMISSIONER",
        "authorized_official_telephone_number": "573-636-2181"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510903909",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428178511",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425440500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cole County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cole County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Correctional Medical Imaging, Inc.
• Delia Silverio Costa, MD
• Elizabeth Christine Costello, COTA
• Erin Couch, LMSW
• County of Cole (Cole County Emergency Medical Services)
• Covenant Integrative Wellness, LLC
• Covenant Pediatrics, LLC
• Tonya Cowan
• Drew Michael Cox, DO
• Jennifer Cox

• Public Health or Welfare Agency in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.