Basic Information
Provider Information
NPI: 1154884393
EntityType: 2
ReplacementNPI:  
OrganizationName: YELLOWSTONE CITY-COUNTY HEALTH DEPT.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 123 S 27TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591014227
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 123 S 27TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591014227
CountryCode: US
TelephoneNumber: 4062473200
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/12/2019
LastUpdateDate: 04/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RITZ
AuthorizedOfficialFirstName: SHELLI
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VICE PRESIDENT AND CFO
AuthorizedOfficialTelephone: 4062473200
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: CPA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251K00000X  Y AgenciesPublic Health or Welfare 

No ID Information.


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