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General NPI Number Information
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NPI Number | 1013045590
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Entity Type | Organization
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Legal Business Name | TETON MEDICAL CENTER
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 915 4TH ST NW
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City | CHOTEAU
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State | MT
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Zip | 59422-9123
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Country | US
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Telephone | 406-466-5763
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Fax | 406-466-5852
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Provider Business Mailing Address
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Address Line | 915 4TH ST NW
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City | CHOTEAU
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State | MT
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Zip | 59422-9123
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Country | US
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Telephone | 406-466-5763
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Fax | 406-466-5852
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BRYAN W. CHALMERS
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Credential |
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Telephone | 406-466-5763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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