Organization Name: | GRANT COUNTY HEALTH DEPARTMANE |
NPI Number: | 1164418745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN S TRIPLETT (ADMINISTRATOR) |
Mailing Address: | 528 E Main St John Day |
State: | OR US |
Postal Code: | 978451240 |
Phone Number: | 5415750429 |
Fax Number: | 5415753604 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |