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NPI Code Detail

MEDICARE: CATHY HOLMES D.O.

MEDICARE: CATHY HOLMES D.O.
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
1207Q00000XFamily Medicine Physician6002MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
202521OTHERMTBCBS

General Provider Information

NPI Number : 1164413969
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY HOLMES D.O.
Provider Business Mailing Address
First Line : 408 WENDELL AVE
Second Line :
City : LEWISTOWN
State : MT
Zip : 59457-2261
Country : US
Telephone Number : 406-535-1502
Fax Number :
Provider Business Practice Location Address
First Line : 408 WENDELL AVE
Second Line :
City : LEWISTOWN
State : MT
Zip : 59457-2261
Country : US
Telephone Number : 406-535-1502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 12/12/2017

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Directions to “ CATHY HOLMES D.O.” Practice Location

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