Healthcare Provider Details

I. General information

NPI: 1881759447
Provider Name (Legal Business Name): COUNTY OF SANDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MAIN STREET
THOMPSON FALLS MT
59873
US

IV. Provider business mailing address

PO BOX 519
THOMPSON FALLS MT
59873-0519
US

V. Phone/Fax

Practice location:
  • Phone: 406-827-6931
  • Fax: 406-827-4388
Mailing address:
  • Phone: 406-827-6931
  • Fax: 406-827-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number21496
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DAN ROWAN
Title or Position: CHAIR SANDERS COUNTY BOARD OF COMMI
Credential:
Phone: 406-827-6931