PROVIDENCE HEALTH & SERVICES MT

HAMILTON, MT
NPI1821235599
Doing Business AsPMG MT SPINE & PAIN HAMILTON
Entity TypeOrganization
Authorized ContactTERI MASTERS
Rcm Operations Mgr.
406-329-5795
Organization Subpart ?Yes
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Additional Taxonomies103T00000X Psychologist
363L00000X Nurse Practitioner
Enumeration Date2009-01-16
Last Update Date2011-06-22
Business Address
PROVIDENCE HEALTH & SERVICES MT
1103 WESTWOOD DR
HAMILTON, MT 59840-2342
Phone number: 406-363-4209
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number: 406-363-4209