Great Falls ENT

Organization Active NPI Otolaryngology Physician · Great Falls, MT

NPI 1437337706 · NPPES record last updated Feb 8, 2008

Key facts

NPI
1437337706
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
License
11637 (MT)
Legal business name
GREAT FALLS ENT
Practice address
400 13TH Ave S
Suite 105
Great Falls, MT 59405-4300
Phone
(406) 455-4470
Fax
(406) 268-0084
NPI assigned
Feb 8, 2008
Organization subpart
Yes
Parent organization (as reported)
BENEFIS HEALTHCARE PRACTITIONERS, PC

Authorized official

Name
Mr. Guy Thomas Hayter
Title
Exectuive Director
Phone
(406) 455-4470

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Comprehensive Family Practice (5 organizations share this tax ID)
Part of
Comprehensive Family Practice

Locations

400 13th Ave S
Ste 105
Great Falls, MT 59405
Phone (406) 455-4470

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Y00000X 11637 MT Yes

Addresses

Primary practice location

400 13TH Ave S
Suite 105
Great Falls, MT 59405-4300

Mailing address

2519 13TH Ave S
Great Falls, MT 59405-5178
Phone (406) 455-4470

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2008.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1437337706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055178",
            "telephone_number": "406-455-4470",
            "fax_number": "406-168-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S",
            "address_2": "SUITE 105",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "406-455-4470",
            "fax_number": "406-268-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS ENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEFIS HEALTHCARE PRACTITIONERS, PC",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "HAYTER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECTUIVE DIRECTOR",
        "authorized_official_telephone_number": "406-455-4470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "11637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

All providers in Great Falls, MT · Otolaryngology Physician in Montana

Sources for this page

Verify at the official NPI Registry.