Provider Demographics
NPI:1861860744
Name:NORTH GILLIAM COUNTY HEALTH DISTRICT
Entity type:Organization
Organization Name:NORTH GILLIAM COUNTY HEALTH DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEEMSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-918-5388
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:OR
Mailing Address - Zip Code:97812-0105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 ON THE MALL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:OR
Practice Address - Zip Code:97812-2067
Practice Address - Country:US
Practice Address - Phone:541-454-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH GILLIAM COUNTY HEALTH DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport