Healthcare Provider Details

I. General information

NPI: 1194012492
Provider Name (Legal Business Name): CARTER COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SANDY STREET
EKALAKA MT
59324-0046
US

IV. Provider business mailing address

P O BOX 46 215 SANDY STREET
EKALAKA MT
59324-0046
US

V. Phone/Fax

Practice location:
  • Phone: 406-775-6332
  • Fax: 406-775-6706
Mailing address:
  • Phone: 406-775-6332
  • Fax: 406-775-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARION KERR
Title or Position: PUBLIC HEALTH NURSE
Credential:
Phone: 406-775-6332