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1790914117 NPI number — SOUTH COUNTY HEALTH DISTRICT

NPI Number: 1790914117
Health Care Provider/Practitioner: SOUTH COUNTY HEALTH DISTRICT

Information about “1790914117” NPI (SOUTH COUNTY HEALTH DISTRICT) exists in 1790914117 in HTML format HTML  |  1790914117 in plain Text format TXT  |  1790914117 in PDF (Portable Document Format) PDF  |  1790914117 in an XML format XML  formats.

NPI Number : 1790914117 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790914117",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTH COUNTY HEALTH DISTRICT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 993",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UNION",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97883-0993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-562-2222",
    "MailingAddressFaxNumber": "541-562-2224",
    "FirstLinePracticeLocationAddress": "142 E. DEARBORN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UNION",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97883-0986",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-562-2222",
    "PracticeLocationAddressFaxNumber": "541-562-2224",
    "EnumerationDate": "07/07/2009",
    "LastUpdateDate": "10/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FERGUSON",
    "AuthorizedOfficialFirstName": "ADINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER/ DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "541-562-2222",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR1300X",
          "TaxonomyName": "Rural Health Clinic/Center",
          "LicenseNumber": "383830",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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