Premier Care Pediatrics & Family Practice
LBN: Premier Care Pediatrics & Family Practice
Premier Care Pediatrics & Family Practice is an health care organization with primary practice located at 1300 28Th St S Suite 6, Great Falls MT 59405-5296. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Premier Care Pediatrics & Family Practice can be contacted via phone (406) 455-5437, or through Simmons, Jill via phone (406) 455-5437.
Contact Information
Primary practice address
1300 28Th St S Suite 6
Great Falls MT 59405-5296
Phone: (406) 455-5437
Fax: (406) 455-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 8726 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN13634 | Montana |
Profile Details
| NPI number | 1972811420 |
|---|---|
| LBN Legal business name | Premier Care Pediatrics & Family Practice |
| DBA Doing business as | |
| Authorized official | Simmons, Jill |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2010 |
| Last updated | Sep 17th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972811420 | NPPES |
| Montana | MEDICAID | 0117062 |
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