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NPI 1205948353

NPI 1205948353 : PLAINS HOSPITAL CORPORATION : PLAINS, MT

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General NPI Number Information
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    NPI Number           |    1205948353
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLAINS HOSPITAL CORPORATION 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    07/28/2016
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Provider Practice Location Address
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    Address Line         |    10 KRUGER RD 
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    City                 |    PLAINS
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    State                |    MT
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    Zip                  |    59859-0768
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    Country              |    US
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    Telephone            |    406-826-4921
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    Fax                  |    406-826-4811
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Provider Business Mailing Address
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    Address Line         |    10 KRUGER RD PO BOX 768
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    City                 |    PLAINS
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    State                |    MT
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    Zip                  |    59859-9506
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    Country              |    US
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    Telephone            |    406-826-4921
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    Fax                  |    406-826-4811
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. GREGORY S HANSON 
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    Credential           |    MD
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    Telephone            |    406-826-4814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    40608
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    License Number State |    MT
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