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General NPI Number Information
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NPI Number | 1417091018
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Entity Type | Organization
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Legal Business Name | PHILLIPS COUNTY HOSPITAL ASSN
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 311 SOUTH 8TH AVE EAST
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City | MALTA
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State | MT
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Zip | 59538
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Country | US
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Telephone | 406-654-1100
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Fax | 406-654-2876
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Provider Business Mailing Address
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Address Line | 311 SOUTH 8TH AVE EAST
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City | MALTA
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State | MT
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Zip | 59538
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Country | US
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Telephone | 406-654-1100
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Fax | 406-654-2876
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Authorized Official
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Title or Position | SUPERVISOR
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Name | JANICE REICHELT
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Credential | RN
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Telephone | 406-654-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 10813
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License Number State | MT
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