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General NPI Number Information
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NPI Number | 1780780643
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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 | 09/16/2006
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 10 KRUGER RD
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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 | 406-826-4816
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Fax | 406-826-4898
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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 | 406-826-4816
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Fax | 406-826-4898
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 10608
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License Number State | MT
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