Organization
CMC REHAB DEPT NEUROPSYCH EVALUATIONS
Active
Parent organization
COMMUNITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL CENTER
Authorized official
STEPHANE G CARLSON (CEO)
(406) 728-4100
Entity
Organization
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
(406) 327-4545
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
(406) 327-4545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
226
MT
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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