Organization
COUNTY OF JEFFERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHN KAUFFMAN (DIRECTOR)
(406) 227-7322
Entity
Organization
Contact information
Practice address
205 S WASHINGTON, BOULDER, MT 59632-0000
(406) 225-3740
Mailing address
PO BOX 1280, EAST HELENA, MT 59635-1280
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165189
—
MT
Enumeration date
03/27/2007
Last updated
06/24/2008
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