Healthcare Provider Details

I. General information

NPI: 1598108433
Provider Name (Legal Business Name): RACHEL E AMTHOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 10TH AVE S FL 2
GREAT FALLS MT
59405-3240
US

IV. Provider business mailing address

1300 28TH ST S STE 6
GREAT FALLS MT
59405-5296
US

V. Phone/Fax

Practice location:
  • Phone: 406-455-5000
  • Fax:
Mailing address:
  • Phone: 406-731-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52129
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number52129
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: