Provider Demographics
NPI:1932513645
Name:EDDY COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:EDDY COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT II
Authorized Official - Prefix:MS
Authorized Official - First Name:FERN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-947-5314
Mailing Address - Street 1:22 9TH ST S
Mailing Address - Street 2:
Mailing Address - City:NEW ROCKFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58356-1540
Mailing Address - Country:US
Mailing Address - Phone:701-947-5314
Mailing Address - Fax:701-947-5314
Practice Address - Street 1:22 9TH ST S
Practice Address - Street 2:
Practice Address - City:NEW ROCKFORD
Practice Address - State:ND
Practice Address - Zip Code:58356-1540
Practice Address - Country:US
Practice Address - Phone:701-947-5314
Practice Address - Fax:701-947-5314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service