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Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
PMG MT IHI SEELEY SWAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
TERRI MASTERS (RCM OPERATIONS MANAGER)
(406) 329-5795
Entity
Organization
Contact information
Practice address
3050 HIGHWAY 83 N, SEELEY LAKE, MT 59868
(866) 366-2983
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
02/12/2014
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