Organization Name: | MISSOULA COMMUNITY HEALTH SERVICES, INC. |
NPI Number: | 1093809196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD M GLEASON (CEO) |
Mailing Address: | 1208 6th Ave Superior |
State: | MT US |
Postal Code: | 598729618 |
Phone Number: | 4068224841 |
Fax Number: | 4068224963 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 10034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |