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General NPI Number Information
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NPI Number | 1235204538
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Entity Type | Organization
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Legal Business Name | WHEATLAND MEMORIAL HEALTHCARE
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 530 3RD ST NW
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City | HARLOWTON
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State | MT
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Zip | 59036
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Country | US
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Telephone | 406-632-4351
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Fax | 406-632-3172
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Provider Business Mailing Address
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Address Line | PO BOX 2911
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City | HARLOWTON
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State | MT
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Zip | 59036-2911
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Country | US
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Telephone | 406-632-4351
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Fax | 406-632-3172
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. DONNA NESTE
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Credential |
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Telephone | 406-632-3115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10879
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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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