Healthcare Provider Details

I. General information

NPI: 1841347101
Provider Name (Legal Business Name): COUNTY OF LINCOLN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 MINERAL AVE
LIBBY MT
59923-1956
US

IV. Provider business mailing address

418 MINERAL AVE
LIBBY MT
59923-1956
US

V. Phone/Fax

Practice location:
  • Phone: 406-283-2442
  • Fax: 406-283-2466
Mailing address:
  • Phone: 406-283-2442
  • Fax: 406-283-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberRN12411
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MCCULLY
Title or Position: PUBLIC HEALTH MANAGER
Credential:
Phone: 406-283-2465