Organization
TETON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN WILLIAM CHALMERS (CHIEF FINANCIAL OFFICER)
(406) 466-5763
Entity
Organization
Contact information
Practice address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
Mailing address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
3336I0012X
Institutional Pharmacy
668
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100357
—
MT
05
—
311597
—
MT
05
—
4108143
—
MT
Enumeration date
03/28/2007
Last updated
08/16/2007
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