| Organization Name: | ROOSEVELT COUNTY |
| NPI Number: | 1962566034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUANE NYGAARD (COMMISSIONER - CHAIR) |
| Mailing Address: | 124 Custer St Wolf Point |
| State: | MT US |
| Postal Code: | 592011640 |
| Phone Number: | 4066536223 |
| Fax Number: | 4066536210 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 10/22/2014 |
| 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: | |