STATE OF MONTANA

HELENA, MT
NPI1366748147
Other NameCHILDREN'S SPECIAL HEALTH SERVICES
Entity TypeOrganization
Authorized ContactMICHELE S O'DONNELL
Billing Agent
406-444-3529
Organization Subpart ?Yes
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date2011-01-27
Last Update Date2011-01-27
Business Address
STATE OF MONTANA
1400 BROADWAY RM A116
HELENA, MT 59620
Phone number: 406-444-3529
Mailing Address
STATE OF MONTANA
PO BOX 202951
HELENA, MT 59620-2951
Phone number: 406-444-3529