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MARIANNE M. WILSON NPI 1043385248


NPI Information

NPI: 1043385248
Provider Name: MARIANNE M. WILSON

Doing Business As: GLACIER MEDICAL HOME HEALTH

Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
802 2ND STREET SE
CUT BANK, MT
ZIP 59427
Phone: (406) 873-2236
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MARIANNE M. WILSON is a home health registered nurse in Cut Bank, MT. MARIANNE M. WILSON NPI is 1043385248. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Glacier Medical Home Health.

The provider's business location address is:

802 2ND STREET SE
CUT BANK, MT
ZIP 59427
Phone: (406) 873-2236
Fax: (406) 873-2867

The provider's authorized official is Marianne M. Wilson .
The authorized official title is Owner Director and has the following contact phone number (406) 873-2236.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 11/5/2009.


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
1163WG0600XRegistered NurseGerontology013820809MARYLANDNo
2163WH0200XRegistered NurseHome HealthRN2262MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1740747MEDICAIDMONTANA
27914000OTHERMONTANABLUE CROSS BLUE SHIELD
3277067MEDICARE OSCAR/CERTIFICATIONMONTANA
4277067MEDICARE ID-TYPE UNSPECIFIEDMONTANA

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: 4/28/2024

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