Healthcare Provider Details

I. General information

NPI: 1700719697
Provider Name (Legal Business Name): MEDICAL HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 2ND ST STE 301
WHITEFISH MT
59937-2443
US

IV. Provider business mailing address

100 E 2ND ST STE 301
WHITEFISH MT
59937-2443
US

V. Phone/Fax

Practice location:
  • Phone: 432-315-4720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JEREMY VALENTINO
Title or Position: CEO
Credential:
Phone: 432-315-4720