Karin E. Fried
Individual provider Active NPI Community Health Worker · De Borgia, MT
NPI 1962036772 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1962036772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 690 Thompson-Deborgia Rd
De Borgia, MT 59830 - Phone
- (440) 666-9326
- NPI assigned
- Mar 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
690 Thompson-Deborgia Rd
De Borgia, MT 59830
Mailing address
PO Box 300118
De Borgia, MT 59830-0118
Phone (440) 666-9326
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.