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Organization
BENEFIS MEDICAL GROUP
Active
Organization
BENEFIS MEDICAL GROUP
Active
Other names
Benefis Physician Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY W. SPEER MD (PRESIDENT)
(406) 455-2920
Entity
Organization
Contact information
Practice address
1117 29TH STREET SOUTH, GREAT FALLS, MT 59405-5306
(406) 455-8150
Mailing address
P.O. BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-2900
(406) 455-2902
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7270
MT
2080P0207X
Pediatric Hematology & Oncology Physician
10145
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000093788
H-BCBS
MT
01
—
0000094908
B-BCBS
MT
01
—
0000099035
BCBS
MT
01
—
0000372861
W-BCBS
MT
01
—
500018658
RR
MT
01
—
830006549
RR
MT
01
—
P00386826
MEDICARE RAILROAD
MT
01
—
P00393761
RR
MT
Enumeration date
09/09/2008
Last updated
11/22/2010
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