Organization
PURE INFUSION SUITES OF MONTANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FRAGA (CONTRACTING MANAGER)
(801) 921-6325
Entity
Organization
Contact information
Practice address
100 BROOKSHIRE BLVD UNIT 1, BILLINGS, MT 59102-6751
(406) 702-1327
(406) 206-0105
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 755-3387
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
04/30/2025
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