MEDICARE: SOUTH HILLS INTERNAL MEDICINE ASSOCIATES PLLP

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	261Q00000X	Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1972550051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH HILLS INTERNAL MEDICINE ASSOCIATES PLLP

Provider Business Mailing Address
First Line	:	301 SADDLE DR STE D
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-495-7260
Fax Number	:	406-442-2445

Provider Business Practice Location Address
First Line	:	301 SADDLE DR STE D
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-442-2205
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAY LARSON
Credential	:	MD
Telephone Number	:	406-442-2205

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	06/10/2026

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