1801952148 NPI number — COUNTY OF TREASURE

Table of content: (NPI 1801952148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801952148 NPI number — COUNTY OF TREASURE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF TREASURE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801952148
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 PIONEER AVE
Provider Second Line Business Mailing Address:
BOX 201
Provider Business Mailing Address City Name:
HYSHAM
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59038-0201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-342-5886
Provider Business Mailing Address Fax Number:
406-342-5886

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
405 PIONEER AVENUE
Provider Second Line Business Practice Location Address:
BOX 201
Provider Business Practice Location Address City Name:
HYSHAM
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59038-0201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-342-5886
Provider Business Practice Location Address Fax Number:
406-342-5951
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRENCH
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
TREASURE COUNTY PUBLIC HEALTH RN
Authorized Official Telephone Number:
406-342-5886

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000003672 . This is a "MEDICARE ROSTER BILLER" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 600000835 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".




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