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General NPI Number Information
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NPI Number | 1972549228
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Entity Type | Organization
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Legal Business Name | SWEET GRASS COUNTY
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 WEST 7TH AVE
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City | BIG TIMBER
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State | MT
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Zip | 59011
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Country | US
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Telephone | 406-932-4603
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Fax | 406-932-5468
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Provider Business Mailing Address
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Address Line | PO BOX 1228
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City | BIG TIMBER
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State | MT
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Zip | 59011-1228
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Country | US
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Telephone | 406-932-4603
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Fax | 406-932-5468
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KEVIN JOSEPH STIFFARM
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Credential | MBA, NHA
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Telephone | 406-932-4603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 10406
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License Number State | MT
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