Healthcare Provider Details

I. General information

NPI: 1841590403
Provider Name (Legal Business Name): BENEFIS HOSPITALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2010
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: 406-455-5526
  • Fax: 406-455-4193
Mailing address:
  • Phone: 406-455-5526
  • Fax: 406-455-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number12074
License Number StateMT

VIII. Authorized Official

Name: MR. STEVE A BALLOCK
Title or Position: V.P./CHIEF FINANCIAL OFFICER
Credential:
Phone: 406-455-5000