Healthcare Provider Details

I. General information

NPI: 1992918817
Provider Name (Legal Business Name): BLACKFEET COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 PIEGAN STREET
BROWNING MT
59417
US

IV. Provider business mailing address

760 PIEGAN STREET
BROWNING MT
59417
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number27583
License Number StateMT

VIII. Authorized Official

Name: HEATHER LOUISE MURRAY
Title or Position: RN
Credential:
Phone: 406-226-5598