| Organization Name: | JEFFERSON COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1063561959 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY DAVIS (DIRECTOR) |
| Mailing Address: | 715 Sw 4th St Ste C Madras |
| State: | OR US |
| Postal Code: | 977411022 |
| Phone Number: | 5414754456 |
| Fax Number: | 5414750132 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 11/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | CH-0000017 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |