# COUNTY OF TETON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598756322
- **Authorized official:** MRS. ARLENE RENEE WOLBAUM (ADMINISTRATOR)
- **Authorized official phone:** (406) 466-5338

## Contact information

- **Practice address:** 24 MAIN AVE N, CHOTEAU, MT 59422
- **Practice address phone:** (406) 466-5338
- **Practice address fax:** (406) 466-5898
- **Mailing address:** PO BOX 317, CHOTEAU, MT 59422-0317
- **Mailing address phone:** (406) 466-5338
- **Mailing address fax:** (406) 466-5898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 10074 | MT | — |
| 314000000X | Skilled Nursing Facility | 10074 | MT | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 12/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27-5075 | MEDICARE | MT |
| 05 | — | 31-8604 | — | MT |