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NPI 1891851697

NPI 1891851697 : FERGUS COUNTY : LEWISTOWN, MT

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General NPI Number Information
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    NPI Number           |    1891851697
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    Entity Type          |    Organization 
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    Legal Business Name  |    FERGUS COUNTY 
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Dates
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    Enumeration Date     |    12/28/2006
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    Last Update Date     |    07/11/2008
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Provider Practice Location Address
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    Address Line         |    507 W MAIN ST 
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    City                 |    LEWISTOWN
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    State                |    MT
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    Zip                  |    59457-2603
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    Country              |    US
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    Telephone            |    406-535-7466
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    Fax                  |    406-535-7466
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Provider Business Mailing Address
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    Address Line         |    507 W MAIN ST 
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    City                 |    LEWISTOWN
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    State                |    MT
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    Zip                  |    59457-2603
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    Country              |    US
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    Telephone            |    406-535-7466
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    Fax                  |    406-535-7466
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Authorized Official
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    Title or Position    |    BOARD CHAIRMAN
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    Name                 |     JOHN CHARLES JENSEN 
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    Credential           |    
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    Telephone            |    406-535-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    NA
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    License Number State |    
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