Organization Name: | ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER |
NPI Number: | 1003067182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH C SCHENK (FACILITATOR) |
Mailing Address: | 500 W Broadway St # Level3 Missoula |
State: | MT US |
Postal Code: | 598024008 |
Phone Number: | 4063273057 |
Fax Number: | 4063273231 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | HAN1-0433-7045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |