Healthcare Provider Details

I. General information

NPI: 1427251289
Provider Name (Legal Business Name): U.G. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 PHOENIX AVE
HELENA MT
59601-0917
US

IV. Provider business mailing address

PO BOX 4669
HELENA MT
59604-4669
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-3256
  • Fax:
Mailing address:
  • Phone: 406-443-3256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number2111
License Number StateMT

VIII. Authorized Official

Name: DUANE GRIMES
Title or Position: OWNER
Credential:
Phone: 406-933-8538