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NPI 1336696152 · live from the CMS NPI Registry

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Emergency Medicine in Great Falls, MT. National Provider Identifier 1336696152, active.

NPI record

NPI1336696152 Type 2 · organization
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location3010 15th Ave S, Great Falls, MT 59405
Practice phone406-216-8000
Mailing addressPo Box 912984, Denver, CO 80291
EnumeratedSeptember 9, 2016
Last updatedSeptember 9, 2016
Authorized officialVicki Newmiller, Coo
Other namesGreat Falls Clinic Hospital

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000X12794 (MT)
2085R0001X12794 (MT)
Hospitalist208M00000X12794 (MT)
Emergency Medicine primary207P00000X12794 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.