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Contact Information

MERCURY STREET MEDICAL GROUP PLLC
3703 HARRISON AVE
BUTTE, MT59701-6897
 Phone: 406-494-3768
 Fax: 406-723-1335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MERCURY STREET MEDICAL GROUP PLLC

NPI # 1104830793
LBN Legal business name MERCURY STREET MEDICAL GROUP PLLC
Authorized official SCOTT BUTLER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/28/2006
Last updated 05/18/2012 - About 14 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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