Coordicare INC
Clinic/Center in Helena, MT. Organization (NPI-2).
NPI number1467824912
StatusActive
Last updated in NPPESOct 23, 2015
Details
- NPI
- 1467824912
- Entity type
- Organization (NPI-2)
- Legal business name
- Coordicare INC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2015
- Last updated
- Oct 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 12731 | MT | Yes |
Practice location
1223 Stetson RdHelena, MT 59602
Phone 406-594-1097 · Fax 406-422-4262
Mailing address
1223 Stetson RdHelena, MT 59602
Phone 406-594-1097 · Fax 406-422-4262
Authorized official
Jonathan Griffin
Nursing Home Medical Director
4065941097
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