Organization
PHILLIPS COUNTY HOSPITAL LAB XRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPH DENHAM (CFO)
(406) 654-1100
Entity
Organization
Contact information
Practice address
311 8TH AVE SO, MALTA, MT 59538
(406) 654-1100
Mailing address
311 8TH AVE SO, MALTA, MT 59538
(406) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03971
BC BS
MT
Enumeration date
05/03/2007
Last updated
08/22/2020
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