Healthcare Provider Details

I. General information

NPI: 1114197035
Provider Name (Legal Business Name): SANDERS COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MAIN ST
THOMPSON FALLS MT
59873
US

IV. Provider business mailing address

PO BOX 519
THOMPSON FALLS MT
59873
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number21496
License Number StateMT

VIII. Authorized Official

Name: CINDY MORGAN
Title or Position: PUBLIC HEALTH NURSE
Credential: NP
Phone: 406-827-6931