Organization
COORDICARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRIFFIN MD, MHA (NURSING HOME MEDICAL DIRECTOR)
(406) 594-1097
Entity
Organization
Contact information
Practice address
1223 STETSON RD, HELENA, MT 59602
(406) 594-1097
(406) 422-4262
Mailing address
1223 STETSON RD, HELENA, MT 59602
(406) 594-1097
(406) 422-4262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12731
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12731
MT STATE LICENSE
MT
Enumeration date
10/23/2015
Last updated
10/23/2015
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