Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
PMG MT Spine & Pain Hamilton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
MRS. TERI MASTERS (RCM OPERATIONS MGR.)
(406) 329-5795
Entity
Organization
Contact information
Practice address
1103 WESTWOOD DR, HAMILTON, MT 59840-2342
(406) 363-4209
(406) 363-4356
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
(406) 363-4209
(406) 363-4356
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/16/2009
Last updated
06/22/2011
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