MEDICARE: COUNTY OF VALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP0905X	State or Local Public Health Clinic/Center

General Provider Information

NPI Number	:	1417013327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF VALLEY

Provider Business Mailing Address
First Line	:	501 COURT SQ BOX 11
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-2415
Country	:	US
Telephone Number	:	406-228-6261
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 4TH AVE S
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-2416
Country	:	US
Telephone Number	:	406-228-6261
Fax Number	:	406-228-6242

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	MICHELLE RAENEE MERRITT
Credential	:
Telephone Number	:	406-228-6205

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	12/27/2023

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Directions to “COUNTY OF VALLEY ” Practice Location

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