Provider Demographics
NPI:1265567838
Name:BIG HORN COUNTY PUBLIC HEALTH
Entity type:Organization
Organization Name:BIG HORN COUNTY PUBLIC HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR & NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROEBLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-665-8722
Mailing Address - Street 1:200 N MITCHELL AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-1634
Mailing Address - Country:US
Mailing Address - Phone:406-665-8720
Mailing Address - Fax:406-665-1025
Practice Address - Street 1:200 N MITCHELL AVE
Practice Address - Street 2:STE 201
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-1634
Practice Address - Country:US
Practice Address - Phone:406-665-8720
Practice Address - Fax:406-665-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT100031089Medicaid