Organization Name: | NORTHWEST HEALTHCARE CORPORATION |
NPI Number: | 1396802716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VELINDA J STEVENS (PRESIDENT) |
Mailing Address: | 706 2nd St Se Cut Bank |
State: | MT US |
Postal Code: | 594273341 |
Phone Number: | 4068734174 |
Fax Number: | 4068734360 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |