Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI # | 1275632275 |
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| LBN Legal business name | COUNTY OF WASHAKIE | ||||
| Authorized official | AMANDA HEINEMEYER - (NURSE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/22/2006 | ||||
| Last updated | 05/06/2023 - About 3 years ago | ||||
| Identifiers |
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COUNTY OF WASHAKIE
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