Organization Name: | PHILLIPS COUNTY |
NPI Number: | 1033240320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY LOU BROADBROOKS (RN, PHN) |
Mailing Address: | 105 S. 2nd St. E Malta |
State: | MT US |
Postal Code: | 595380241 |
Phone Number: | 4066542521 |
Fax Number: | 4066542523 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |