Provider Demographics
NPI:1700274891
Name:PIERCE COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:PIERCE COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-776-5818
Mailing Address - Street 1:240 2ND ST. SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RUGBY
Mailing Address - State:ND
Mailing Address - Zip Code:58368
Mailing Address - Country:US
Mailing Address - Phone:701-776-5818
Mailing Address - Fax:701-776-2516
Practice Address - Street 1:240 2ND ST. SE
Practice Address - Street 2:SUITE 2
Practice Address - City:RUGBY
Practice Address - State:ND
Practice Address - Zip Code:58368
Practice Address - Country:US
Practice Address - Phone:701-776-5818
Practice Address - Fax:701-776-2516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-26
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare