Healthcare Provider Details
I. General information
NPI: 1740390756
Provider Name (Legal Business Name): PUREVIEW HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1930 9TH AVE
HELENA MT
59601-4759
US
IV. Provider business mailing address
1930 9TH AVE
HELENA MT
59601-4759
US
V. Phone/Fax
- Phone: 406-457-0000
- Fax: 406-500-2128
- Phone: 406-457-0000
- Fax: 406-457-8981
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JILL-MARIE
STEELEY
Title or Position: CEO
Credential:
Phone: 406-500-2050