Healthcare Provider Details

I. General information

NPI: 1518628973
Provider Name (Legal Business Name): COUNTY OF WHEATLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E DIVISION ST
HARLOWTON MT
59036-5157
US

IV. Provider business mailing address

PO BOX 288
HARLOWTON MT
59036-0288
US

V. Phone/Fax

Practice location:
  • Phone: 406-632-4324
  • Fax:
Mailing address:
  • Phone: 406-632-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LYNN LEWIS
Title or Position: BUSINESS MANAGER/CLERK
Credential:
Phone: 406-632-4324