Organization
MARIANNE M. WILSON
Active
Other names
Glacier Medical Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE M. WILSON RNC (OWNER DIRECTOR)
(406) 873-2236
Entity
Organization
Contact information
Practice address
802 2ND STREET SE, CUT BANK, MT 59427
(406) 873-2236
(406) 873-2867
Mailing address
802 2ND STREET SE, CUT BANK, MT 59427
(406) 873-2236
(406) 873-2867
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
013820809
MD
163WH0200X
Home Health Registered Nurse
Primary
RN2262
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740747
—
MT
01
—
7914000
BLUE CROSS BLUE SHIELD
MT
Enumeration date
11/22/2006
Last updated
11/05/2009
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