COPPER CITY RADIOLOGY PC; NPI #1780112862

Contact Information

COPPER CITY RADIOLOGY PC

400 S CLARK ST
BUTTE, MT 59701-2328

Phone: 406-723-2658
Fax: 406-723-2624
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for COPPER CITY RADIOLOGY PC

NPI Number 1780112862

LBN Legal business name COPPER CITY RADIOLOGY PC

Authorized official HASSAN MASSOUH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/01/2017

Last updated 07/21/2022 - About 4 years ago

Identifiers

MT	License #	10582
MT	Medicaid	0085442
MT	Other	98815	BLUE CROSS/BLUE SHIELD

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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COPPER CITY RADIOLOGY PC

Contact Information

Specialty

Diagnostic Radiology

Vascular & Interventional Radiology

NPI Profile & details for COPPER CITY RADIOLOGY PC

Reviews for COPPER CITY RADIOLOGY PC