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NPI Code Detail

MEDICARE: FRANCES MAHON DEACONESS HOSPITAL

MEDICARE: FRANCES MAHON DEACONESS HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center10542MT
2261QR1300XRural Health Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DC8692OTHERMTMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043266356
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCES MAHON DEACONESS HOSPITAL
Provider Business Mailing Address
First Line : 221 5TH AVE S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-3400
Fax Number :
Provider Business Practice Location Address
First Line : 221 5TH AVE S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-3400
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PHYSICIAN RECRUITMENT
Name : CONNIE BRUNELLE
Credential :
Telephone Number : 406-228-3609
Provider Enumeration Date : 05/26/2006
Last Update Date : 02/06/2024

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