Healthcare Provider Details

I. General information

NPI: 1033072699
Provider Name (Legal Business Name): COUNTY OF GARFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 LEAVITT AVE JORDAN, MONTANA
JORDAN MT
59337-0389
US

IV. Provider business mailing address

PO BOX 389
JORDAN MT
59337-0389
US

V. Phone/Fax

Practice location:
  • Phone: 406-557-2500
  • Fax: 406-557-6002
Mailing address:
  • Phone: 406-557-2500
  • Fax: 406-557-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE HERBOLD
Title or Position: BUSINESS OFFICE
Credential:
Phone: 406-557-2500