# HEAVENS PEAK HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952881138
- **Authorized official:** LAURA CHRYSTINE HALL CFNP (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (406) 250-8717

## Contact information

- **Practice address:** 9540 9TH ST W, COLUMBIA FALLS, MT 59912
- **Practice address phone:** (406) 752-8120
- **Mailing address:** 9540 9TH ST W, COLUMBIA FALLS, MT 59912
- **Mailing address phone:** (406) 752-8120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018