Organization Name: | HIGH PLAINS FAMILY HEALTH CARE |
NPI Number: | 1912235631 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE REICHELT (OWNER) |
Mailing Address: | 88 Johannes Ave Ste A Big Sandy |
State: | MT US |
Postal Code: | 59520 |
Phone Number: | 4063782508 |
Fax Number: | 4063782508 |
NPI Enumeration Date: | 11/19/2009 |
NPI Last Update Date: | 11/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 24903RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |