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NPI Code Detail

MEDICARE: HELEN JANE HINES

MEDICARE: HELEN JANE HINES
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568004786
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN JANE HINES
Provider Business Mailing Address
First Line : 401 RAILROAD ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4178
Country : US
Telephone Number : 406-258-4789
Fax Number : 406-258-4732
Provider Business Practice Location Address
First Line : 401 RAILROAD ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4178
Country : US
Telephone Number : 406-258-4789
Fax Number : 406-258-4732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2019
Last Update Date : 03/27/2024

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