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EASTERN PLAINS-CLINIC OF UROLOGY LLC NPI 1760688238


NPI Information

NPI: 1760688238
Provider Name: EASTERN PLAINS-CLINIC OF UROLOGY, LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
630 W MERCURY ST
BUTTE, MT
ZIP 59701
Phone: (920) 623-9970
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EASTERN PLAINS-CLINIC OF UROLOGY, LLC is an urology in Butte, MT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. EASTERN PLAINS-CLINIC OF UROLOGY, LLC NPI is 1760688238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 W MERCURY ST
BUTTE, MT
ZIP 59701-510
Phone: (920) 623-9970
Fax: (920) 623-9989

The provider's authorized official is Michael Ervin Kuglitsch .
The authorized official title is Owner and has the following contact phone number (920) 623-9970.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 3/31/2008.


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
1208800000XUrology7089MONTANAYes

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
130673100MEDICAIDWISCONSIN
2B54363MEDICARE UPINMONTANA
30020103002MEDICAIDIDAHO
41130333MEDICARE PINIDAHO
50081226MEDICAIDMONTANA

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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