Organization
TETON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN W. CHALMERS (CHIEF FINANCIAL OFFICER)
(406) 466-5763
Entity
Organization
Contact information
Practice address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
(406) 466-5852
Mailing address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
(406) 466-5852
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100357
—
MT
05
—
311597
—
MT
05
—
4108143
—
MT
Enumeration date
02/28/2007
Last updated
08/22/2020
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