LAKE COUNTY NPI 1699867051

NPI Information

NPI: 1699867051
Provider Name: LAKE COUNTY

Doing Business As: LAKE COUNTY HEALTH DEPARTMENT

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
802 MAIN ST
SUITE A
POLSON, MT
ZIP 59860
Phone: (406) 883-7288
Get Directions

LAKE COUNTY is a public health and state or local clinic center in Polson, MT. LAKE COUNTY NPI is 1699867051. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake County Health Department.

The provider's business location address is:

802 MAIN ST
SUITE A
POLSON, MT
ZIP 59860-201
Phone: (406) 883-7288
Fax: (406) 883-7290

The provider's authorized official is Emily Colomeda .
The authorized official title is Health Services Director and has the following contact phone number (406) 883-7288.

The CLIA number assigned to this NPI record is 27D2247831 - other - local health dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	251B00000X	Case Management		MONTANA	No
2	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	MONTANA	No
3	261QP0905X	Clinic/Center	Public Health, State or Local	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3502109	MEDICAID	MONTANA
2	000003462	MEDICARE ID-TYPE UNSPECIFIED	MONTANA
3	31308	OTHER	MONTANA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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