Healthcare Provider Details

I. General information

NPI: 1639133085
Provider Name (Legal Business Name): JOHNSON COUNTY DEPT OF HEALTH AND ENVIRONMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11875 S SUNSET DR SUITE 300
OLATHE KS
66061-2793
US

IV. Provider business mailing address

11875 S SUNSET DR SUITE 300
OLATHE KS
66061-2793
US

V. Phone/Fax

Practice location:
  • Phone: 913-826-1200
  • Fax: 913-477-8063
Mailing address:
  • Phone: 913-477-8352
  • Fax: 913-477-8063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: JOHNSON COUNTY DEPARTMENT
Title or Position: BILLING COORDINATOR
Credential:
Phone: 913-477-8352