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Contact Information

EXTRAORDINARY DISTANCES
178 W LYNDALE AVE
HELENA, MT59601-2822
 Phone: 406-443-2455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Recovery Care

261QR0800X
Indicates primary specialty

NPI Profile & details for EXTRAORDINARY DISTANCES

NPI Number 1841820669
LBN Legal business name EXTRAORDINARY DISTANCES
Authorized official ERICA DURHAM - (PRINCIPAL)
Entity Organization
Organization subpart 1 No
Enumeration date 01/21/2020
Last updated 01/21/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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