Teton Medical Center
Organization Active NPI Radiology Clinic/Center · Choteau, MT
NPI 1740318948 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740318948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- TETON MEDICAL CENTER
- Practice address
- 915 4TH St NW
Choteau, MT 59422-9123 - Phone
- (406) 466-5763
- Fax
- (406) 466-5852
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Bryan W. Chalmers
- Title
- Chief Financial Officer
- Phone
- (406) 466-5763
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Teton Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
915 4TH St NW
Choteau, MT 59422-9123
Mailing address
915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-5763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311597 | Medicaid | MT | |
| 4108143 | Medicaid | MT | |
| 3100357 | Medicaid | MT |
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- Cherish T Van Schaik
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All providers in Choteau, MT · Radiology Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.