MEDICARE: RCHP BILLINGS - MISSOULA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1346634235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCHP BILLINGS - MISSOULA LLC

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:	615-920-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	16862 BECKWITH ST
Second Line	:	SUITE Q
City	:	FRENCHTOWN
State	:	MT
Zip	:	59834-9646
Country	:	US
Telephone Number	:	406-327-4046
Fax Number	:	406-327-4071

Authorized Official
Title or Position	:	SECRETARY
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	02/09/2023

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