Healthcare Provider Details

I. General information

NPI: 1114211448
Provider Name (Legal Business Name): MARILYN G HILDRETH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MEDICAL PARK DR
HELENA MT
59601-4925
US

IV. Provider business mailing address

32 MEDICAL PARK DR
HELENA MT
59601-4925
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-8838
  • Fax: 406-443-6367
Mailing address:
  • Phone: 406-443-8838
  • Fax: 406-443-6367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberSLP-SU-LIC-12645
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: