MEDICARE: RAMAH IRENE MCDONALD-VULLES CBHPSS

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
1	175T00000X	Peer Specialist		MT

General Provider Information

NPI Number	:	1417808858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMAH IRENE MCDONALD-VULLES CBHPSS

Provider Business Mailing Address
First Line	:	12782 TRINKUS LN
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-5952
Country	:	US
Telephone Number	:	406-310-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	12782 TRINKUS LN
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-5952
Country	:	US
Telephone Number	:	406-310-1101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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