Provider Demographics
NPI:1629145008
Name:COUNTY OF HILL
Entity Type:Organization
Organization Name:COUNTY OF HILL
Other - Org Name:HILL COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CPH
Authorized Official - Phone:406-400-2415
Mailing Address - Street 1:302 4TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-3654
Mailing Address - Country:US
Mailing Address - Phone:406-265-5481
Mailing Address - Fax:406-265-6976
Practice Address - Street 1:302 4TH AVENUE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3654
Practice Address - Country:US
Practice Address - Phone:406-265-5481
Practice Address - Fax:406-265-6976
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF HILL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-29
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251B00000X, 251K00000X, 261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000031288OtherBCBS
MT000290802Medicaid
MT000031288OtherBCBS
MT600002095Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MT000003371Medicare ID - Type Unspecified