Provider Demographics
NPI:1790831444
Name:COUNTY OF RICHLAND
Entity Type:Organization
Organization Name:COUNTY OF RICHLAND
Other - Org Name:RICHLAND COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDTIH
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAPAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA
Authorized Official - Phone:406-433-2207
Mailing Address - Street 1:1201 WEST HOLLY ST.
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270
Mailing Address - Country:US
Mailing Address - Phone:406-433-2207
Mailing Address - Fax:406-433-2207
Practice Address - Street 1:1201 WEST HOLLY ST.
Practice Address - Street 2:SUITE #1
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270
Practice Address - Country:US
Practice Address - Phone:406-433-2207
Practice Address - Fax:406-433-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10140251K00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT31238OtherBLUE CROSS
MT3504631Medicaid
MT31238OtherBLUE CROSS