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NPI Code Detail

MEDICARE: ST. VINCENT HEALTHCARE

MEDICARE: ST. VINCENT HEALTHCARE
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
1261QP2300XPrimary Care Clinic/Center9717MT

General Provider Information

NPI Number : 1992746465
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. VINCENT HEALTHCARE
Provider Business Mailing Address
First Line : 32 WICKS LN
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3810
Country : US
Telephone Number : 406-237-8300
Fax Number : 406-237-8333
Provider Business Practice Location Address
First Line : 32 WICKS LN
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3810
Country : US
Telephone Number : 406-237-8300
Fax Number : 406-237-8333
Authorized Official
Title or Position : PRESIDENT CEO
Name : JAMES T. PAQUETTE
Credential :
Telephone Number : 406-237-3071
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/23/2007

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Directions to “ST. VINCENT HEALTHCARE ” Practice Location

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