| Organization Name: | BENEFIS SLETTEN HI-LINE CANCER CENTER, LLC |
| NPI Number: | 1326203134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE A BALLOCK (CFO/VP) |
| Mailing Address: | 40 13th St W Havre |
| State: | MT US |
| Postal Code: | 595015215 |
| Phone Number: | 4062626000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 07/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |