Organization
COUNTY OF TETON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA WIER RN (REGISTER NURSEPUBLIC HEALTH NURSE)
(406) 466-2562
Entity
Organization
Contact information
Practice address
905 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-2562
(406) 466-5292
Mailing address
905 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-2562
(406) 466-5292
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03126-8
BCBS CHIP
MT
05
—
3503682
—
MT
Enumeration date
01/03/2007
Last updated
10/24/2014
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