National Provider Identifier Database

LAKE COUNTY
Public Health, State or Local


Contact Information

LAKE COUNTY
802 MAIN ST
SUITE A
POLSON, MT59860-3201
Phone: 406-883-7288
Fax: 406-883-7290
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X
Case Management 251B00000X
Family Planning, Non-Surgical 261QF0050X

* Indicates primary specialty

NPI Profile & details for LAKE COUNTY

NPI Number 1699867051
Legal business name
LBN
LAKE COUNTY
Authorized official EMILY COLOMEDA - (HEALTH SERVICES DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/29/2006
Last updated 01/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MT Medicaid: 3502109
  • MT Other: 31308 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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