CLARK COUNTY PUBLIC HEALTH (NPI# 1730309824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730309824 |
| Entity Type | Organization |
| Organization Name | CLARK COUNTY PUBLIC HEALTH |
| Other Organization Name | CLARK COUNTY HEALTH DEPARTMENT |
| Practice Address |
1601 E Fourth Plain Blvd Bldg 17 3rd Floor Vancouver WA 98661-3713 |
| Mailing Address |
Po Box 9825 Vancouver WA 98666-8825 |
| Practice Telephone | 3603978473 |
| Practice Fax Number | 3603978110 |
| Mailing Telephone | 3603978473 |
| Mailing Fax Number | 3603978110 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | MR. JEFF N HARBISON (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 5643978475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers | ||
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
Nursing Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7400682 | 05 |
| Other Name | Type Code |
|---|---|
| Clark County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912127002 | Clark County Public Health | Counselor | 1601 E Fourth Plain Blvd Bldg 17, 3rd Floor, Vancouver, WA 98661-3713 | 2007-04-30 |
| 1457571549 | Clark County Public Health | Dental Hygienist | 1601 E Fourth Plain Blvd Bldg 17, 3rd Floor, Vancouver, WA 98661-3713 | 2007-04-30 |
| 1790905883 | Clark County Public Health | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, 3rd Floor, Vancouver, WA 98661-3713 | 2007-04-30 |
| Street Address |
1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407981095 | Kim L Carnahan Lewis | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 | 2007-02-22 |
| 1457964645 | Tonya Nicole Farrell | Licensed Practical Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-08-26 |
| 1366062192 | Flavia A Caceres | Community Health Worker | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1417577255 | Sandra Suzanne Kendrick | Community Health Worker | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1780204529 | Doris L Sanders | Community Health Worker | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1578183315 | Monica Renee Thompson | Community Health Worker | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1609496447 | David Joseph Duarte | Community Health Worker | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1275153017 | Kimberly Kay Charest | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-22 |
| 1881214674 | Brandy D Benedict | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-21 |
| 1770103566 | Connie Jean Callahan | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551989 | Nicole Buckner | Case Manager/Care Coordinator | 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 | 2020-09-01 |
| 1568016475 | Lauren Edelstein | Case Manager/Care Coordinator | 100 E 33rd St Ste 201a, Vancouver, WA 98663-2776 | 2019-07-29 |
| 1558823534 | Tamara Bernal Aguilar | Case Manager/Care Coordinator | 13300 Ne 44th St, Vancouver, WA 98682-6909 | 2019-04-01 |
| 1922569409 | Ignacia Alex Gordon | Case Manager/Care Coordinator | 11801 Ne 65th St # A, Vancouver, WA 98662-5527 | 2019-03-27 |
| 1366927428 | Emma Martinez | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2018-09-25 |
| 1710407143 | Christie Lee Chapin | Case Manager/Care Coordinator | 1601 E Mcloughlin Blvd, Vancouver, WA 98663-3528 | 2017-06-27 |
| 1154873511 | Mariya Grizhinku | Case Manager/Care Coordinator | 7709 Ne 140th Ave, Vancouver, WA 98682-1304 | 2016-11-01 |
| 1194277038 | Tiana Annalice Stroup | Case Manager/Care Coordinator | 11818 Se Mill Plain Blvd Ste 307, Vancouver, WA 98684-7017 | 2016-10-26 |
| 1174071997 | Paris Quincy-jamal Heart-hester | Case Manager/Care Coordinator | 1701 Broadway St # 212, Vancouver, WA 98663-3436 | 2016-09-21 |
| 1659709343 | Daniela Vese | Case Manager/Care Coordinator | 12909 Se Laver St, Vancouver, WA 98683-6335 | 2013-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.