PONDERA COUNTY NPI 1073675351

NPI Information

PONDERA COUNTY is a public health or welfare in Conrad, MT. PONDERA COUNTY NPI is 1073675351. The provider is registered as an organization entity type.
The provider Is Doing Business As Pondera County Health Dept..

The provider's business location address is:

311 S. VIRGINIA STREET
SUITE 1
CONRAD, MT
ZIP 59425
Phone: (406) 271-3247
Fax: (406) 271-3248

The provider's authorized official is Cynthia L Grubb .
The authorized official title is Public Health Director and has the following contact phone number (406) 271-3247.

The CLIA number assigned to this NPI record is 27D2229572 - other - county health office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 11/8/2012.

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:

Other Identifiers

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

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