Big Sky Medical Clinic, PC
Family Medicine in Helena, MT. Organization (NPI-2).
NPI number1790870442
StatusActive
Last updated in NPPESDec 20, 2011
Details
- NPI
- 1790870442
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Sky Medical Clinic, PC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Dec 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9893 | MT | Yes |
| 207Q00000X | Family Medicine | 9754 | MT | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 9754 | MT | |
| 363AM0700X | Physician Assistant, Medical | 469 | MT |
Practice location
820 N Montana AveHelena, MT 59601-3856
Phone 406-443-7733 · Fax 406-443-8292
Mailing address
820 N Montana AveHelena, MT 59601-3856
Phone 406-443-7733 · Fax 406-443-8292
Authorized official
Kris M Dalton
Clinic Manager
4064437733
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