Organization
PONDEROSA PINES HEALTHCARE LLC
Active
Parent organization
HEALTH MANAGEMENT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT SERVICES
Authorized official
KENT HANAWALT (ADMINISTRATOR)
(406) 252-6135
Entity
Organization
Contact information
Practice address
1341 ROSEBUD LN, BILLINGS, MT 59101-6527
(406) 252-6135
Mailing address
1341 ROSEBUD LN, BILLINGS, MT 59101-6527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
436
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-5096
MEDICARE PROVIDER NUMBER
MT
Enumeration date
06/09/2008
Last updated
06/09/2008
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