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
National Provider Directory
- Tax ID family
- Comprehensive Family Practice
- Part of
- Comprehensive Family Practice
Locations
400 13th Ave S
Ste 105
Great Falls, MT 59405
Phone (406) 455-4470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
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
{
"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": []
}
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All providers in Great Falls, MT · Otolaryngology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.