Sunny View Pediatrics

LBN: Wallace S. Wilder Md
Sunny View Pediatrics is an health care organization with primary practice located at 210 Sunnyview Ln Suite 103, Kalispell MT 59901-3135. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wallace S. Wilder Md can be contacted via phone (406) 752-8300, or through Waggener, Trudy B. via phone (406) 752-8300.

Contact Information

Primary practice address
210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135
Phone: (406) 752-8300
Fax: (406) 752-3542
Website:
Map and Directions
Authorized official contact:
Name: Waggener, Trudy B.
Phone: (406) 752-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 3655 Montana

Profile Details

NPI number 1659431013
LBN Legal business name Wallace S. Wilder Md
DBA Doing business as Sunny View Pediatrics
Authorized official Waggener, Trudy B.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 15th, 2011 - about 15 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 1659431013 NPPES
Montana MEDICAID 0032344
Montana Other 92168
Montana MEDICAID 0437529
Montana Other 08110
Montana Other 371330
Montana MEDICAID 0066495
Montana Other 95755

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