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General NPI Number Information
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NPI Number | 1477584175
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Entity Type | Organization
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Legal Business Name | BENEFIS HEALTHCARE PRACTITIONERS
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 1117 29TH ST S
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City | GREAT FALLS
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State | MT
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Zip | 59405-5306
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Country | US
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Telephone | 406-731-8240
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Fax | 406-731-8289
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Provider Business Mailing Address
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Address Line | 2519 13TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-5178
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Country | US
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Telephone | 406-455-4470
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Fax | 406-268-0084
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MR. DANIEL J REINER
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Credential |
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Telephone | 406-455-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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