Provider Demographics
NPI:1164203907
Name:PUREVIEW HEALTH CENTER
Entity Type:Organization
Organization Name:PUREVIEW HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-500-2139
Mailing Address - Street 1:1930 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4759
Mailing Address - Country:US
Mailing Address - Phone:406-457-0000
Mailing Address - Fax:406-500-2128
Practice Address - Street 1:815 FRONT ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3310
Practice Address - Country:US
Practice Address - Phone:406-457-0000
Practice Address - Fax:406-500-2128
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUREVIEW HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)