Healthcare Provider Details

I. General information

NPI: 1447353008
Provider Name (Legal Business Name): COUNTY OF DAWSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W BELL ST
GLENDIVE MT
59330-1616
US

IV. Provider business mailing address

207 W BELL ST
GLENDIVE MT
59330-1616
US

V. Phone/Fax

Practice location:
  • Phone: 406-377-5213
  • Fax: 406-377-2022
Mailing address:
  • Phone: 406-377-5213
  • Fax: 406-377-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberNA
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAUREEN MURPHREE
Title or Position: DIRECTOR
Credential:
Phone: 406-377-5213