Organization
COUNTY OF LEWIS AND CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HENDERSON (DIVISION ADMINISTRATOR)
(406) 457-8914
Entity
Organization
Contact information
Practice address
1930 9TH AVE, HELENA, MT 59601-4759
(406) 457-8942
(406) 457-8990
Mailing address
1930 9TH AVE, HELENA, MT 59601-4759
(406) 457-8942
(406) 457-8990
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000290003
—
MT
05
—
0000290004
—
MT
05
—
0000290615
—
MT
05
—
0000350025
—
MT
Enumeration date
04/09/2007
Last updated
10/16/2012
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