Organization
FRANCES MAHON DEACONESS HOSPITAL
Active
Other names
Frances Mahon Deaconess Hospital Home Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL G. HOLOM (CEO)
(406) 228-3500
Entity
Organization
Contact information
Practice address
621 3RD ST S, GLASGOW, MT 59230-2604
(406) 228-3500
(406) 228-3681
Mailing address
621 3RD ST S, GLASGOW, MT 59230-2604
(406) 228-3500
(406) 228-3681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311760
BLUE CROSS DME
MT
05
—
5600348
—
MT
Enumeration date
03/01/2007
Last updated
11/24/2020
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