MEDICARE: BEAVERHEAD COUNTY PUBLIC HEALTH

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	251K00000X	Public Health or Welfare Agency	099523	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	370521	OTHER	MT	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750324828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAVERHEAD COUNTY PUBLIC HEALTH

Provider Business Mailing Address
First Line	:	90 HIGHWAY 91 SOUTH
Second Line	:
City	:	DILLON
State	:	MT
Zip	:	59725-3557
Country	:	US
Telephone Number	:	406-683-4771
Fax Number	:	406-683-3188

Provider Business Practice Location Address
First Line	:	90 HIGHWAY 91 SOUTH
Second Line	:
City	:	DILLON
State	:	MT
Zip	:	59725-3557
Country	:	US
Telephone Number	:	406-683-4771
Fax Number	:	406-683-3188

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MISS SHERRI GIRARD
Credential	:
Telephone Number	:	406-683-4771

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/24/2007

Similar Medicare Providers

1912949983 — BEAVERHEAD COUNTY PUBLIC HEALTH
Practice Location Address:

90 HIGHWAY 91 SOUTH
DILLON, MT
59725-3557

Practice Phone: 406-683-4771
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1760340913 — MICHAELA REYES
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1093672388 — CATHERINE STEWART
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1922965565 — ELAINE BIRDSLEY SWLC
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1326042078 — BARRETT HOSPITAL DEVELOPMENT CORPORATION
Practice Location Address:

600 MT HWY 91 SOUTH
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1790789279 — DR. RONALD V LOGE M.D.
Practice Location Address:

30 HWY 91 S #103
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59725

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Directions to “BEAVERHEAD COUNTY PUBLIC HEALTH ” Practice Location

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