Healthcare Provider Details

I. General information

NPI: 1467638171
Provider Name (Legal Business Name): BENEFIS HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 26TH ST S
GREAT FALLS MT
59405-5161
US

IV. Provider business mailing address

PO BOX 5096
GREAT FALLS MT
59403-5096
US

V. Phone/Fax

Practice location:
  • Phone: 406-455-5000
  • Fax:
Mailing address:
  • Phone: 406-455-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10843
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number10843
License Number StateMT

VIII. Authorized Official

Name: MR. STEVE A BALLOCK
Title or Position: CFO/VP
Credential:
Phone: 406-455-5000