Robert W. Kelley Odpc

LBN: Robert W. Kelley Odpc
Robert W. Kelley Odpc is an health care organization with primary practice located at 401 Main Street , Thompson Falls MT 59873-0399. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Robert W. Kelley Odpc can be contacted via phone (406) 827-4327, or through Kelley, Robert W via phone (406) 827-4327.

Contact Information

Primary practice address
401 Main Street Thompson Falls MT 59873-0399
Phone: (406) 827-4327
Fax: (406) 827-3027
Website:
Map and Directions
Authorized official contact:
Name: Kelley, Robert W
Phone: (406) 827-4327

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 349 Montana

Profile Details

NPI number 1578655528
LBN Legal business name Robert W. Kelley Odpc
DBA Doing business as
Authorized official Kelley, Robert W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 1st, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578655528 NPPES
Montana Other 26620 BLUE CROSS/BLUE SHIELD MT
Montana MEDICAID 048-3119 BLUE CROSS/BLUE SHIELD MT
Montana Other 0642010001 BLUE CROSS/BLUE SHIELD MT

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