Healthcare Provider Details

I. General information

NPI: 1275659831
Provider Name (Legal Business Name): COUNTY OF FOSTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 MAIN ST
CARRINGTON ND
58421-1257
US

IV. Provider business mailing address

881 MAIN ST
CARRINGTON ND
58421-1257
US

V. Phone/Fax

Practice location:
  • Phone: 701-652-3087
  • Fax: 701-652-3097
Mailing address:
  • Phone: 701-652-3087
  • Fax: 701-652-3097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA DAWN SOLWEY
Title or Position: ADMINISTRATOR/DON
Credential: RN
Phone: 701-652-3087