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General NPI Number Information
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NPI Number | 1821016536
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Entity Type | Organization
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Legal Business Name | NORTHEAST MT HEALTH SERVICES
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 315 KNAPP ST
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City | WOLF POINT
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State | MT
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Zip | 59201-1826
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Country | US
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Telephone | 406-653-6500
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Fax | 406-653-6593
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Provider Business Mailing Address
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Address Line | 315 KNAPP ST
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City | WOLF POINT
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State | MT
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Zip | 59201-9998
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Country | US
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Telephone | 406-653-6530
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Fax | 406-653-6593
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | MARY HOVERSLAND
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Credential |
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Telephone | 406-653-6530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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