Pmg Mt Montana Internal Med

LBN: Providence Health & Services Mt
Pmg Mt Montana Internal Med is an health care organization with primary practice located at 2819 Great Northern Loop Suite 200, Missoula MT 59808-1750. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Providence Health & Services Mt can be contacted via phone (406) 543-1197, or through Bodlovic, Kirk via phone (406) 327-1918.

Contact Information

Primary practice address
2819 Great Northern Loop Suite 200 Missoula MT 59808-1750
Phone: (406) 543-1197
Fax: (406) 543-0515
Website:
Map and Directions
Authorized official contact:
Name: Bodlovic, Kirk
Phone: (406) 327-1918

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0411866 Montana

Profile Details

NPI number 1730325440
LBN Legal business name Providence Health & Services Mt
DBA Doing business as Pmg Mt Montana Internal Med
Authorized official Bodlovic, Kirk
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 30th, 2008
Last updated Nov 22nd, 2013 - about 12 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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