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General NPI Number Information
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NPI Number | 1750365193
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Entity Type | Individual
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Provider Name | JOHN A. MCHENRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1645 VANDELAY AVE STE 301
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City | HELENA
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State | MT
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Zip | 59601-3929
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Country | US
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Telephone | 406-455-5000
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Fax | 406-731-8318
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Provider Business Mailing Address
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Address Line | PO BOX 6010
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City | GREAT FALLS
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State | MT
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Zip | 59406-6010
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Country | US
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Telephone | 64-455-5000
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Fax | 406-731-8318
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 180981-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 180981-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 143503
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License Number State | MT
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