Organization
COUNTY OF BEAVERHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE T HANSEN (DIRECTOR)
(406) 683-4771
Entity
Organization
Contact information
Practice address
41 BARRETT ST, DILLON, MT 59725-3519
(406) 683-4771
Mailing address
90 HWY 91 SOUTH, DILLON, MT 59725-3516
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MT
Enumeration date
10/23/2007
Last updated
01/02/2008
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