Provider Demographics
NPI:1225534282
Name:GARNET CREEK INCORPORATED
Entity Type:Organization
Organization Name:GARNET CREEK INCORPORATED
Other - Org Name:BEAVERHEAD URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMINARA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:406-683-4400
Mailing Address - Street 1:120 S ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-2715
Mailing Address - Country:US
Mailing Address - Phone:406-683-4400
Mailing Address - Fax:
Practice Address - Street 1:120 S ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-2715
Practice Address - Country:US
Practice Address - Phone:406-683-4400
Practice Address - Fax:406-683-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care