Provider Demographics
NPI:1417013327
Name:COUNTY OF VALLEY
Entity Type:Organization
Organization Name:COUNTY OF VALLEY
Other - Org Name:VALLEY COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:RAENEE
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-228-6205
Mailing Address - Street 1:501 COURT SQ BOX 11
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2415
Mailing Address - Country:US
Mailing Address - Phone:406-228-6261
Mailing Address - Fax:
Practice Address - Street 1:500 4TH AVE S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2416
Practice Address - Country:US
Practice Address - Phone:406-228-6261
Practice Address - Fax:406-228-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1417013327Medicare UPIN