Provider Demographics
NPI:1942968300
Name:COUNTY OF CARBON
Entity Type:Organization
Organization Name:COUNTY OF CARBON
Other - Org Name:CARBON COUNTY PUBLIC HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:406-426-8016
Mailing Address - Street 1:PO BOX 2289
Mailing Address - Street 2:
Mailing Address - City:RED LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59068-2289
Mailing Address - Country:US
Mailing Address - Phone:406-446-9941
Mailing Address - Fax:
Practice Address - Street 1:10 S OAKES AVE
Practice Address - Street 2:
Practice Address - City:RED LODGE
Practice Address - State:MT
Practice Address - Zip Code:59068-5500
Practice Address - Country:US
Practice Address - Phone:406-446-9941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local