MEDICARE: JOHNSON COUNTY DEPT OF HEALTH AND ENVIRONMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP0905X	State or Local Public Health Clinic/Center
2	364SC1501X	Community Health/Public Health Clinical Nurse Specialist
3	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639133085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON COUNTY DEPT OF HEALTH AND ENVIRONMENT

Provider Business Mailing Address
First Line	:	11875 S SUNSET DR
Second Line	:	SUITE 300
City	:	OLATHE
State	:	KS
Zip	:	66061-2793
Country	:	US
Telephone Number	:	913-477-8352
Fax Number	:	913-477-8063

Provider Business Practice Location Address
First Line	:	11875 S SUNSET DR
Second Line	:	SUITE 300
City	:	OLATHE
State	:	KS
Zip	:	66061-2793
Country	:	US
Telephone Number	:	913-826-1200
Fax Number	:	913-477-8063

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	JOHNSON COUNTY DEPARTMENT
Credential	:
Telephone Number	:	913-477-8352

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	02/27/2026

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