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General NPI Number Information
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NPI Number | 1043266356
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Entity Type | Organization
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Legal Business Name | FRANCES MAHON DEACONESS HOSPITAL
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 221 5TH AVE S
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City | GLASGOW
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State | MT
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Zip | 59230-2600
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Country | US
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Telephone | 406-228-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 221 5TH AVE S
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City | GLASGOW
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State | MT
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Zip | 59230-2600
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Country | US
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Telephone | 406-228-3400
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICIAN RECRUITMENT
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Name | CONNIE BRUNELLE
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Credential |
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Telephone | 406-228-3609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 10542
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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