Organization
LIVINGSTONHEALTHCARE XRAY PROFEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREN LOWE (CHIEF EXECUTIVE OFFICER)
(406) 222-5011
Entity
Organization
Contact information
Practice address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
(406) 222-5034
Mailing address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
(406) 222-5034
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10657
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000098265
BCBS RADIOLOGY PROFEE
MT
Enumeration date
09/15/2006
Last updated
07/21/2022
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