MEDICARE: COUNTY OF STEELE

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821184904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF STEELE

Provider Business Mailing Address
First Line	:	PO BOX 317
Second Line	:
City	:	FINLEY
State	:	ND
Zip	:	58230-0317
Country	:	US
Telephone Number	:	701-524-2060
Fax Number	:	701-524-1715

Provider Business Practice Location Address
First Line	:	201 WASHINGTON AVE
Second Line	:
City	:	FINLEY
State	:	ND
Zip	:	58230
Country	:	US
Telephone Number	:	701-524-2060
Fax Number	:	701-524-1715

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SAMANTHA HOFMANN
Credential	:
Telephone Number	:	701-524-2060

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	01/16/2024

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Directions to “COUNTY OF STEELE ” Practice Location

Language	Start Address	Practice Location

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