Dr. Rhonda Eickholt Mhaprn P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MT37331 Issued in MT

Legal business name

DR. RHONDA EICKHOLT MHAPRN P.C.

Practice address

3972 US Highway 93 N
Suite C
Stevensville, MT 59870-6494

Phone

(406) 777-6958

Fax

(406) 777-5869

NPI assigned

Aug 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rhonda Mae Eickholt, MHAPRN

Title

Owner

Phone

(406) 777-6958

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407024000000",
    "number": "1417366576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 93 N",
            "address_2": "SUITE C",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706494",
            "telephone_number": "406-777-6958",
            "fax_number": "406-777-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 93 N",
            "address_2": "SUITE C",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706494",
            "telephone_number": "406-777-6958",
            "fax_number": "406-777-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RHONDA EICKHOLT MHAPRN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2014-08-03",
        "status": "A",
        "authorized_official_last_name": "EICKHOLT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-777-6958",
        "authorized_official_credential": "MHAPRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "MT37331",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MT",
            "license": "MT37331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043599939",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Stevensville, MT
• Providers in Stevensville, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.