Organization Name: | ROCKY BOY HEALTH BOARD CLINIC |
NPI Number: | 1245441120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TESSIE LAMERE (BILLING CLERK) |
Mailing Address: | Rr 1 Box Elder |
State: | MT US |
Postal Code: | 59521 |
Phone Number: | 4063954486 |
Fax Number: | 4063954408 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |