Four Corners Health Care Inc
LBN: Four Corners Health Care Inc
Four Corners Health Care Inc is an health care organization with primary practice located at 7720 Shedhorn Dr Ste D , Bozeman MT 59718. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Four Corners Health Care Inc can be contacted via phone (406) 556-8300, or through Mitchell, Marie Sills via phone (406) 556-8300.
Contact Information
Primary practice address
7720 Shedhorn Dr Ste D
Bozeman MT 59718
Phone: (406) 556-8300
Fax: (406) 556-8304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN20521 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN20521 | Montana |
Profile Details
| NPI number | 1245312644 |
|---|---|
| LBN Legal business name | Four Corners Health Care Inc |
| DBA Doing business as | |
| Authorized official | Mitchell, Marie Sills CNP PNP FNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245312644 | NPPES |
| Montana | MEDICAID | 4307043 |
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