ROOSEVELT COUNTY NPI 1962566034

NPI Information

ROOSEVELT COUNTY is a public health or welfare in Wolf Point, MT. ROOSEVELT COUNTY NPI is 1962566034. The provider is registered as an organization entity type.
The provider Is Doing Business As Roosevelt County Health Department.

The provider's business location address is:

124 CUSTER ST
WOLF POINT, MT
ZIP 59201-640
Phone: (406) 653-6223
Fax: (406) 653-6210

The provider's authorized official is Duane Nygaard .
The authorized official title is Commissioner - Chair and has the following contact phone number (406) 653-6248.

The CLIA number assigned to this NPI record is 27D0864989 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 10/22/2014.

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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