Healthcare Provider Details

I. General information

NPI: 1417162850
Provider Name (Legal Business Name): MOUNTAINVIEW MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WEST MAIN STREET
WHITE SULPHUR SPRINGS MT
59645-0817
US

IV. Provider business mailing address

16 W MAIN ST PO BOX Q
WHITE SULPHUR SPRINGS MT
59645-9036
US

V. Phone/Fax

Practice location:
  • Phone: 406-547-3321
  • Fax: 406-547-3298
Mailing address:
  • Phone: 406-547-3321
  • Fax: 406-547-3298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number10391
License Number StateMT

VIII. Authorized Official

Name: MR. ROB BRANDT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 406-547-3321