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Contact Information

THREE RIVERS ONCOLOGY
1724 FAIRVIEW AVE
SUITE A
MISSOULA, MT59801-7872
 Phone: 406-327-0120
 Fax: 406-327-0117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THREE RIVERS ONCOLOGY

NPI Number 1275559676
LBN Legal business name THREE RIVERS ONCOLOGY
Authorized official ROY HALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MT License # 10706
MT Medicaid 0150841
MT Other 5675300001 DMER NUMBER
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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