Organization Name: | PONDERA COUNTY |
NPI Number: | 1073675351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA L GRUBB (PUBLIC HEALTH DIRECTOR) |
Mailing Address: | 311 S. Virginia Street Suite 1 Conrad |
State: | MT US |
Postal Code: | 59425 |
Phone Number: | 4062713247 |
Fax Number: | 4062713248 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 11/08/2012 |
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: |