Organization
HELENA SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY L HUBLEY (FINANCE DIRECTOR)
(406) 457-4203
Entity
Organization
Contact information
Practice address
2440 WINNE AVE, SUITE 100, HELENA, MT 59601-4905
(406) 457-4200
(406) 457-4220
Mailing address
2440 WINNE AVE, SUITE 100, HELENA, MT 59601-4905
(406) 457-4200
(406) 457-4220
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10469
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000350353
—
MT
01
—
0126583
WASHINGTON WC
WA
01
—
60402
BLUE CROSS AND BLUE SHIEL
MT
05
—
7122104
—
WA
01
—
96271003
MT. BREAST & CERV. HLTH P
MT
01
—
MSF0522205
MONTANA STATE FUND
MT
Enumeration date
12/08/2005
Last updated
04/20/2008
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