Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI Number | 1376606517 |
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| LBN Legal business name | POWDER RIVER PUBLICHEALTH | ||||
| Authorized official | JACI PHILLIPS - (RN DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/19/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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POWDER RIVER PUBLICHEALTH
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