MEDICARE: HEATHER L HARRINGTON PA

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	363AM0700X	Medical Physician Assistant	460	MT

General Provider Information

NPI Number	:	1942236476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER L HARRINGTON PA

Provider Business Mailing Address
First Line	:	PO BOX 7666
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59807-7666
Country	:	US
Telephone Number	:	406-721-5600
Fax Number	:	406-721-3907

Provider Business Practice Location Address
First Line	:	16840 BECKWITH RD
Second Line	:
City	:	FRENCHTOWN
State	:	MT
Zip	:	59834-9646
Country	:	US
Telephone Number	:	406-626-5769
Fax Number	:	406-626-1886

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	07/08/2007

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