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NPI Code Detail

MEDICARE: MISSOULA COMMUNITY HEALTH SERVICES, INC.

MEDICARE: MISSOULA COMMUNITY HEALTH SERVICES, INC.
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
1282NR1301XRural Acute Care Hospital10034MT
2282NC0060XCritical Access Hospital10034MT

General Provider Information

NPI Number : 1902990005
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSOULA COMMUNITY HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 66
Second Line :
City : SUPERIOR
State : MT
Zip : 59872-0066
Country : US
Telephone Number : 406-822-4841
Fax Number : 406-822-4963
Provider Business Practice Location Address
First Line : 1208 6TH AVE E
Second Line :
City : SUPERIOR
State : MT
Zip : 59872-9618
Country : US
Telephone Number : 406-822-4841
Fax Number : 406-822-4963
Authorized Official
Title or Position : CEO
Name : MR. JOHN S MCNEECE
Credential :
Telephone Number : 406-822-4841
Provider Enumeration Date : 10/03/2006
Last Update Date : 04/05/2019

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Directions to “MISSOULA COMMUNITY HEALTH SERVICES, INC. ” Practice Location

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