Provider Demographics
NPI:1407981269
Name:HIGH PLAINS PSYCHIATRIC ASSOC PC
Entity Type:Organization
Organization Name:HIGH PLAINS PSYCHIATRIC ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RATHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-294-9373
Mailing Address - Street 1:PO BOX 20478
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-0478
Mailing Address - Country:US
Mailing Address - Phone:406-294-9373
Mailing Address - Fax:406-294-9378
Practice Address - Street 1:1601 LEWIS AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4126
Practice Address - Country:US
Practice Address - Phone:406-294-9373
Practice Address - Fax:406-294-9378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000084225Medicare ID - Type Unspecified