Organization Name: | GRANITE COUNTY HOSPITAL DISTRICT |
NPI Number: | 1023130754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY L PRATER (C E O) |
Mailing Address: | 310 Sansome St Philipsburg |
State: | MT US |
Postal Code: | 598580729 |
Phone Number: | 4068593271 |
Fax Number: | 4068593271 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 10614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |