Organization · Type 2 NPI
Lake County
State or Local Public Health Clinic/Center · Polson, MT
NPI number
1699867051
Active
Practice location
802 Main St, Suite A
Polson, MT 59860-3201
Fax (406) 883-7290
Mailing address
106 4th Ave E
Polson, MT 59860-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | None listed |
| State or Local Public Health Clinic/Center Primary | 261QP0905X | None listed |
State or Local Public Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1699867051
Lake County's National Provider Identifier is 1699867051, issued on Sep 29, 2006. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Polson, MT. The record was last updated on Jan 19, 2010.