Provider Demographics
NPI:1275659831
Name:COUNTY OF FOSTER
Entity Type:Organization
Organization Name:COUNTY OF FOSTER
Other - Org Name:FOSTER COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SOLWEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:701-652-3087
Mailing Address - Street 1:881 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARRINGTON
Mailing Address - State:ND
Mailing Address - Zip Code:58421-1257
Mailing Address - Country:US
Mailing Address - Phone:701-652-3087
Mailing Address - Fax:701-652-3097
Practice Address - Street 1:881 MAIN ST
Practice Address - Street 2:
Practice Address - City:CARRINGTON
Practice Address - State:ND
Practice Address - Zip Code:58421-1257
Practice Address - Country:US
Practice Address - Phone:701-652-3087
Practice Address - Fax:701-652-3097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF FOSTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-22
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN711774Medicare ID - Type UnspecifiedMEDICARE NUMBER