Healthcare Provider Details

I. General information

NPI: 1841275211
Provider Name (Legal Business Name): HELENA SURGICENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 WINNE AVE SUITE 100
HELENA MT
59601-4905
US

IV. Provider business mailing address

2440 WINNE AVE SUITE 100
HELENA MT
59601-4905
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-4200
  • Fax: 406-457-4220
Mailing address:
  • Phone: 406-457-4200
  • Fax: 406-457-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number10469
License Number StateMT

VIII. Authorized Official

Name: MRS. KATHY L HUBLEY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 406-457-4203