NPI 1033240320
Phillips County
Practice location
- Address
- 105 S. 2nd St. E, Malta, MT 59538-0241
- Phone
- (406) 654-2521
- Fax
- (406) 654-2523
- Mailing address
- PO Box 241 105 S. 2nd St. E., Malta, MT 59538-0241
Authorised official
- Name
- Mary Lou Broadbrooks
- Title
- RN, Phn
- Phone
- (406) 654-2521
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1033240320
- Entity type
- Organization
- NPI issued
- 8 Mar 2007
- Record last updated
- 6 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.