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Organization
HEAVENS PEAK HEALTHCARE LLC
Active
Organization
HEAVENS PEAK HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CHRYSTINE HALL CFNP (AUTHORIZED OFFICIAL)
(406) 250-8717
Entity
Organization
Contact information
Practice address
9540 9TH ST W, COLUMBIA FALLS, MT 59912
(406) 752-8120
Mailing address
9540 9TH ST W, COLUMBIA FALLS, MT 59912
(406) 752-8120
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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