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JEFFERSON COUNTY HEALTH DEPARTMENT
NPI 1780731059
Public Health or Welfare in Madison, IN

Active since January 05, 2007CLIA 15D0672448 · Waiver
715 GREEN RD, MADISON, IN 47250(812) 273-1942(812) 273-1955 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, Apr 7, 2022 (2 updates tracked since 2022).

About Jefferson County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COUNTY HEALTH DEPARTMENT (NPI 1780731059) is a healthcare organization registered as a public health or welfare in Madison, Indiana and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Lindsey R Wyne, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780731059
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameJEFFERSON COUNTY AUDITOR
Location Address715 GREEN RDMadison, IN 47250-2143
Mailing Address715 Green RdMadison, IN 47250-2143 · (812) 273-1942 · Fax (812) 273-1955
Phone(812) 273-1942
Fax(812) 273-1955
Organization SubpartNo
Authorized OfficialLindsey R WyneAdministrator · (812) 273-1942
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1780731059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
715 GREEN RD, Madison, IN 47250
Open in Google Maps ↗

Other Names 1

Doing Business AsJefferson County Health Department

Other Identifiers 1

Medicaid100272300IN

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20131111000031Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0672448

Jefferson Co Health Department · Madison, IN
Active · expires Mar 2, 2027
CLIA Number15D0672448
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorBlythe E. Couch
Laboratory Phone(812) 273-1942
Laboratory LocationJefferson Co Health Department715 Green Rd, Madison, IN 47250
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
146 services144 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
138 services136 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Auditor's NPI number?

The NPI number for Jefferson County Auditor is 1780731059. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Jefferson County Health Department.

Where is Jefferson County Auditor located?

Jefferson County Auditor is located at 715 Green Rd, Madison, IN 47250. The listed phone number is (812) 273-1942.

What is Jefferson County Auditor's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Jefferson County Auditor enrolled in Medicare?

Yes. Jefferson County Auditor is registered in the Medicare PECOS enrollment system.

When is Jefferson County Auditor's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Jefferson County Auditor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0672448) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson County Auditor was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.