Organization Name: | JEFFERSON COUNTY HEALTH DEPARTMENT |
NPI Number: | 1588722383 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD SARGENT (MEDICAL DIRECTOR) |
Mailing Address: | 214 S Main Boulder |
State: | MT US |
Postal Code: | 59632 |
Phone Number: | 4062254231 |
Fax Number: | 4062259473 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 6901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |