NPIMap

County of Prairie

Organization Active NPI Community Health Registered Nurse · Terry, MT

NPI 1760697239 · NPPES record last updated Sep 30, 2015

Key facts

NPI
1760697239
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Registered Nurse 163WC1500X
Legal business name
COUNTY OF PRAIRIE
Practice address
203 South Logan Ave
Terry, MT 59349-0125
Phone
(406) 635-2020
Fax
(406) 635-5575
NPI assigned
May 10, 2007
Organization subpart
No

Authorized official

Name
Miss Megan E Olson, RN
Title
Public Health RN
Phone
(406) 635-2020

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080731000517 MT Part B Supplier - Mass Immunization (Roster Biller Only) 4981598083 Practice locations: Terry, MT

National Provider Directory

Tax ID family
County of Prairie (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP		 163WC1500X Yes

Addresses

Primary practice location

203 South Logan Ave
Terry, MT 59349-0125

Mailing address

P.O. Box 202
Terry, MT 59349-0125
Phone (406) 635-2020

Other providers in Terry, MT

All providers in Terry, MT · Community Health Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.