Organization Name: | MONTANA VAMC |
NPI Number: | 1124296991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN POTTER (NPI TEAM MEMBER) |
Mailing Address: | 629 Ne Main St Lewistown |
State: | MT US |
Postal Code: | 594572082 |
Phone Number: | 9135784110 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |