Organization Name: | PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL |
NPI Number: | 1265547939 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL E LOGAN (EXECUTIVE ASSISTANT) |
Mailing Address: | 10 Kruger Road Plains |
State: | MT US |
Postal Code: | 59859 |
Phone Number: | 4068264813 |
Fax Number: | 4068264811 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |