Healthcare Provider Details

I. General information

NPI: 1841285442
Provider Name (Legal Business Name): RONALD K. HULL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK DR
HELENA MT
59601-8022
US

IV. Provider business mailing address

1 MEDICAL PARK DR
HELENA MT
59601-8022
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-8244
  • Fax: 406-457-8236
Mailing address:
  • Phone: 406-461-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4154
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number4154
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4154
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0107627
Identifier TypeMEDICAID
Identifier StateMT
Identifier Issuer
# 2
Identifier000011290
Identifier TypeOTHER
Identifier StateMT
Identifier IssuerBLUE CROSS
# 3
Identifier184821100
Identifier TypeOTHER
Identifier StateMT
Identifier IssuerDEPARTMENT OF LABOR
# 4
Identifier00109215
Identifier TypeOTHER
Identifier StateMT
Identifier IssuerMONTANA STATE FUND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: