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Organization

BENEFIS HEALTHCARE PRACTITIONERS, PC

Active
Other names
BPA HAVRE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL JOSEPH REINER (CHIEF ADMINISTRATIVE OFFICER)
(406) 455-4470
Entity
Organization

Contact information

Practice address
40 13TH ST W, HAVRE, MT 59501-5215
(406) 265-7831
(406) 265-1651
Mailing address
2519 13TH AVE S, GREAT FALLS, MT 59405-5178
(406) 455-4470
(406) 268-0084

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
10706
MT
2080P0207X
Pediatric Hematology & Oncology Physician
10145
MT
2085R0001X
Radiation Oncology Physician
11765
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000093788
BCBS
MT
01
0000093858
BCBS
MT
01
0000099035
BCBS
05
1417953019
MT
05
1447275870
MT
05
1619067295
MT
01
96516
BLUECROSS BLUESHIELD
MT
01
POO393761
MEDICARE RAILROAD
MT
Enumeration date
08/22/2008
Last updated
11/11/2008
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