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COUNTRY HOME ESTATE INC NPI 1649497926


NPI Information

NPI: 1649497926
Provider Name: COUNTRY HOME ESTATE, INC

Doing Business As: NONE

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1704 S RESERVE ST
MISSOULA, MT
ZIP 59801
Phone: (406) 542-1889
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COUNTRY HOME ESTATE, INC is a preferred provider organization in Missoula, MT. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. COUNTRY HOME ESTATE, INC NPI is 1649497926. The provider is registered as an organization entity type.
The provider Is Doing Business As None.

The provider's business location address is:

1704 S RESERVE ST
MISSOULA, MT
ZIP 59801-752
Phone: (406) 542-1889
Fax: (406) 549-6848

The provider's authorized official is Mary Lynn Newman .
The authorized official title is President and has the following contact phone number (406) 542-1889.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 9/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization11069MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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