Organization Name: | COUNTY OF BROADWATER |
NPI Number: | 1740344589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA CAMPBELL (COUNTY HEALTH NURSE) |
Mailing Address: | 124 N Cedar St Townsend |
State: | MT US |
Postal Code: | 596442300 |
Phone Number: | 4062665209 |
Fax Number: | 4062663940 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | D20580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |