Healthcare Provider Details

I. General information

NPI: 1174190136
Provider Name (Legal Business Name): INTERMOUNTAIN PLANNED PARENTHOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 9TH ST S
GREAT FALLS MT
59405-2115
US

IV. Provider business mailing address

1116 GRAND AVE STE 201
BILLINGS MT
59102-4282
US

V. Phone/Fax

Practice location:
  • Phone: 406-454-3431
  • Fax:
Mailing address:
  • Phone: 406-540-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ANDERSON
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 406-540-5130