=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306073465
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL FAMILIES HEALTH CARE, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2009
-----------------------------------------------------
Last Update Date | 06/16/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1060 N MERIDIAN RD
-----------------------------------------------------
City | KALISPELL
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59901-3542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-755-1647
-----------------------------------------------------
Fax | 406-755-1645
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1060 N MERIDIAN RD
-----------------------------------------------------
City | KALISPELL
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59901-3542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-755-1647
-----------------------------------------------------
Fax | 406-755-1645
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. SUSAN CAHILL
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 406-755-1647
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | 9
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------