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General NPI Number Information
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NPI Number | 1518074061
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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 | 08/23/2006
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 120 POND ST
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City | THOMSPON FALLS
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State | MT
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Zip | 59873
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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 | 408-826-4921
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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 | 10608
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License Number State | MT
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