Provider Demographics
NPI:1447353008
Name:COUNTY OF DAWSON
Entity type:Organization
Organization Name:COUNTY OF DAWSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-377-5213
Mailing Address - Street 1:207 W BELL ST
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-1616
Mailing Address - Country:US
Mailing Address - Phone:406-377-5213
Mailing Address - Fax:406-377-2022
Practice Address - Street 1:207 W BELL ST
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1616
Practice Address - Country:US
Practice Address - Phone:406-377-5213
Practice Address - Fax:406-377-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNA251K00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT99765OtherDR. LEAL -BL. CROSS #
MT290224OtherTCM #
MT670475Medicaid
MT31278OtherBLUE CHIP PROVIDER #
MT7774712Medicaid
MT290224OtherTCM #
MT7774712Medicaid