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Organization

BENEFIS HEALTHCARE PRACTITIONERS

Active
Parent organization
BENEFIS HEALTHCARE PRACTITIONERS, PC
Other names
Plains Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
BENEFIS HEALTHCARE PRACTITIONERS, PC
Authorized official
MR. DANIEL J REINER (CHIEF ADMINISTRATIVE OFFICER)
(406) 455-4470
Entity
Organization

Contact information

Practice address
2800 11TH AVE S, SUITE 14, GREAT FALLS, MT 59405-5263
(406) 771-1172
(406) 771-1175
Mailing address
2519 13TH AVE S, GREAT FALLS, MT 59405-5178
(406) 455-4470
(406) 268-0084

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092086
BCBS
MT
05
1134144231
MT
Enumeration date
07/18/2006
Last updated
11/11/2008
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