Organization
COMMUNITY HOSPITAL OF ANACONDA
Active
Other names
anaconda pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE R CORTRIGHT (DEPT DIRECTOR)
(406) 563-8528
Entity
Organization
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1900
(406) 563-7337
(406) 563-8338
Mailing address
401 W PENNSYLVANIA ST, ANACONDA, MT 59711-1931
(406) 563-8528
(406) 563-8565
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10442
STATE LICENSE
MT
Enumeration date
03/14/2007
Last updated
09/01/2015
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