Provider Demographics
NPI:1821184904
Name:COUNTY OF STEELE
Entity Type:Organization
Organization Name:COUNTY OF STEELE
Other - Org Name:STEELE COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-524-2060
Mailing Address - Street 1:PO BOX 317
Mailing Address - Street 2:
Mailing Address - City:FINLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58230-0317
Mailing Address - Country:US
Mailing Address - Phone:701-524-2060
Mailing Address - Fax:701-524-1715
Practice Address - Street 1:201 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:FINLEY
Practice Address - State:ND
Practice Address - Zip Code:58230
Practice Address - Country:US
Practice Address - Phone:701-524-2060
Practice Address - Fax:701-524-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN70495Medicaid