Great Falls Surgical Associates

LBN: Great Falls Surgical Associates
Great Falls Surgical Associates is an health care organization with primary practice located at 400 13Th Ave S Ste 102, Great Falls MT 59405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Great Falls Surgical Associates can be contacted via phone (406) 452-0877, or through Mortenson, Dale R via phone (406) 452-0877.

Contact Information

Primary practice address
400 13Th Ave S Ste 102 Great Falls MT 59405
Phone: (406) 452-0877
Fax: (406) 452-2989
Website:
Map and Directions
Authorized official contact:
Name: Mortenson, Dale R Doctor of Medicine (MD)
Phone: (406) 452-0877

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1073658084
LBN Legal business name Great Falls Surgical Associates
DBA Doing business as
Authorized official Mortenson, Dale R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073658084 NPPES
Montana Other CK4565 RR MEDICARE GROUP NO.

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