Healthcare Provider Details

I. General information

NPI: 1639117013
Provider Name (Legal Business Name): FRANCES MAHON DEACONESS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 3RD ST S
GLASGOW MT
59230-2604
US

IV. Provider business mailing address

621 3RD ST S
GLASGOW MT
59230-2604
US

V. Phone/Fax

Practice location:
  • Phone: 406-228-3500
  • Fax: 406-228-3533
Mailing address:
  • Phone: 406-228-3500
  • Fax: 406-228-3533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAMI KALINSKI
Title or Position: DIRECTOR OF FINANCIAL SERVICES
Credential:
Phone: 406-228-3660