Organization Name: | HIGH PLAINS FAMILY HEALTHCARE, LLC |
NPI Number: | 1821320508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE S REICHELT (OWNER) |
Mailing Address: | 88 Johannes Ave Suite A Big Sandy |
State: | MT US |
Postal Code: | 59520 |
Phone Number: | 4063782508 |
Fax Number: | 4063782509 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 24903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |