Organization
HEALTHSOURCE PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH MCCAULEY (COO)
(800) 501-1142
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
2134 INDUSTRIAL DR, SUITE B, BOZEMAN, MT 59715-2244
(800) 501-1142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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