LAKE COUNTY; NPI #1699867051

Contact Information

LAKE COUNTY

802 MAIN ST
SUITE A
POLSON, MT 59860-3201

Phone: 406-883-7288
Fax: 406-883-7290
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Public Health, State or Local	261QP0905X
Case Management	251B00000X
Family Planning, Non-Surgical	261QF0050X

Indicates primary specialty

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NPI Profile & details for LAKE COUNTY

NPI # 1699867051

LBN Legal business name LAKE COUNTY

Authorized official EMILY COLOMEDA - (HEALTH SERVICES DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/29/2006

Last updated 01/19/2010 - About 16 years ago

Identifiers

MT	Medicaid	3502109
MT	Other	31308	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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