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NPI Code Detail

MEDICARE: SALLY O BATES RN C

MEDICARE: SALLY O BATES RN C
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
1163W00000XRegistered NurseRN28901MT
2163W00000XRegistered NurseRN046539LA

General Provider Information

NPI Number : 1730175621
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY O BATES RN C
Provider Business Mailing Address
First Line : PO BOX 219
Second Line :
City : BILLINGS
State : MT
Zip : 59103-0219
Country : US
Telephone Number : 406-252-5658
Fax Number : 406-238-3617
Provider Business Practice Location Address
First Line : 1245 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0122
Country : US
Telephone Number : 406-252-5658
Fax Number : 406-238-3617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 07/08/2007

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