Organization
LEWIS AND CLARK EMERGENCY PHYSICIANS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT JENSEN MD (PRESIDENT)
(781) 280-9381
Entity
Organization
Contact information
Practice address
2475 E BROADWAY ST, EMERGENCY DEPARTMENT, HELENA, MT 59601-4928
(406) 442-2480
Mailing address
PO BOX 947951, ATLANTA, GA 30394-7951
(556) 919-8908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083668651
—
MT
01
—
187223500
US DEPT OF LABOR
MT
01
—
CE8304
RRMCR
MT
Enumeration date
05/19/2006
Last updated
05/02/2024
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