MEDICARE: MONTANA HEALTH CENTER

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	:	1992134308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA HEALTH CENTER

Provider Business Mailing Address
First Line	:	405 SADDLE DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5632
Country	:	US
Telephone Number	:	406-444-9930
Fax Number	:	406-206-0304

Provider Business Practice Location Address
First Line	:	405 SADDLE DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5632
Country	:	US
Telephone Number	:	406-444-9930
Fax Number	:	406-206-0304

Authorized Official
Title or Position	:	DCO
Name	:	JIMMIE BARNWELL
Credential	:	PA, JD
Telephone Number	:	406-444-9930

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	11/06/2013

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Directions to “MONTANA HEALTH CENTER ” Practice Location

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