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MARK IBSEN INC NPI 1821327008


NPI Information

NPI: 1821327008
Provider Name: MARK IBSEN INC

Doing Business As: URGENT CARE PLUS

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
39 NEILL AVE
HELENA, MT
ZIP 59601
Phone: (406) 513-1052
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MARK IBSEN INC is an emergency medical services emergency medicine in Helena, MT. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. MARK IBSEN INC NPI is 1821327008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Urgent Care Plus.

The provider's business location address is:

39 NEILL AVE
HELENA, MT
ZIP 59601-330
Phone: (406) 513-1052
Fax: (406) 513-1054

The provider's authorized official is Mark S Ibsen .
The authorized official title is Owner and has the following contact phone number (406) 513-1052.

The enumeration date for this NPI number is 12/16/2009 and was last updated on 5/4/2010.


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
1207Q00000XFamily Medicine7378MONTANANo
2207PE0004XEmergency MedicineEmergency Medical Services7378MONTANAYes

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
1000080499OTHERMONTANAMEDICARE ID-TYPE UNSPECIFIED
2104958MEDICAIDMONTANA
3E27859MEDICARE UPINMONTANA

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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