Provider Demographics
NPI:1407916141
Name:COUNTY OF ADAMS
Entity Type:Organization
Organization Name:COUNTY OF ADAMS
Other - Org Name:ADAMS COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-488-4074
Mailing Address - Street 1:425 E MAIN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:OTHELLO
Mailing Address - State:WA
Mailing Address - Zip Code:99344-1146
Mailing Address - Country:US
Mailing Address - Phone:509-488-2031
Mailing Address - Fax:509-331-0030
Practice Address - Street 1:425 E MAIN ST STE 700
Practice Address - Street 2:
Practice Address - City:OTHELLO
Practice Address - State:WA
Practice Address - Zip Code:99344-1146
Practice Address - Country:US
Practice Address - Phone:509-488-2031
Practice Address - Fax:509-331-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7138811Medicaid
WA7408750Medicaid