Provider Demographics
NPI:1356820328
Name:PROGRESSIVE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:PROGRESSIVE HEALTH SOLUTIONS
Other - Org Name:CREATIVE AESTHETICS MT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCOEUR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:406-829-9913
Mailing Address - Street 1:300 HAUGEN HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-3113
Mailing Address - Country:US
Mailing Address - Phone:406-493-4892
Mailing Address - Fax:479-364-5123
Practice Address - Street 1:14 2ND ST W
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-3036
Practice Address - Country:US
Practice Address - Phone:406-493-4892
Practice Address - Fax:479-364-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-10
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT100475363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1083936173OtherNPI