Pondera Medical Center

Organization Active NPI Anesthesiology Physician · Conrad, MT

NPI 1245319201 · NPPES record last updated Jan 7, 2008

Key facts

NPI
1245319201
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
PONDERA MEDICAL CENTER
Practice address
805 Sunset Blvd
Conrad, MT 59425-0758
Phone
(406) 271-2202
Fax
(406) 271-3917
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

Name
Elaine M Rice
Title
Patient Services Manager
Phone
(406) 271-2025

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

805 Sunset Blvd
Conrad, MT 59425-0758

Mailing address

PO Box 758
805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-2202

Other providers in Conrad, MT

All providers in Conrad, MT · Anesthesiology Physician in Montana

Sources for this page

Verify at the official NPI Registry.