Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
PMG MT IHI Great Falls
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
MRS. TERI MASTERS (RCM OPERATIONS MANAGER)
(406) 329-5795
Entity
Organization
Contact information
Practice address
1417 9TH ST S, SUITE 203, GREAT FALLS, MT 59405-4509
(406) 771-7700
(406) 329-5606
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 329-5615
(406) 329-5606
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
05/20/2008
Last updated
11/11/2013
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