NPI 1093255879 · live from the CMS NPI Registry
Eugene Beville
Emergency Medicine in Polson, MT. National Provider Identifier 1093255879, active.
NPI record
| NPI | 1093255879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 6 13th Ave E, Polson, MT 59860 |
| Practice phone | 406-883-5680 |
| Mailing address | Po Box 31001, 4114, Pasadena, CA 91110 |
| Enumerated | February 27, 2017 |
| Last updated | June 2, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | MED-PHYS-LIC-171192 (MT) |
| Emergency Medicine | 207P00000X | 0102205358 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.