Healthcare Provider Details

I. General information

NPI: 1063679124
Provider Name (Legal Business Name): US HEALTH DEPART OF HEALTH AND HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 HOSPITAL CIRCLE
BROWNING MT
59417-0760
US

IV. Provider business mailing address

760 HOSPITAL CIRCLE
BROWNING MT
59417-0760
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6369
  • Fax:
Mailing address:
  • Phone: 406-338-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberAC0008
License Number StateMT

VIII. Authorized Official

Name: DEBRA A. KIPLING
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 406-338-6369